How much rates vary
Facilitymedian $3,090 · 10th to 90th $200 to $6,026Professionalmedian $3,631 · 10th to 90th $1,122 to $9,550
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $16,982.44 Median $18,620.87 Typical High $19,498.45 | Professional | None | $16,982.44 | $18,620.87 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $4,466.84 Typical High $9,549.93 | Professional | None | $1,071.52 | $4,466.84 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $4,570.88 | Facility | None | $2,691.53 | $3,090.30 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $5,011.87 | Professional | None | $1,905.46 | $4,365.16 | $5,011.87 |
DeanCare Setting Facility Modifier None Typical Low $1,621.81 Median $5,248.07 Typical High $7,079.46 | Facility | None | $1,621.81 | $5,248.07 | $7,079.46 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,621.81 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $11,481.54 | Professional | None | $1,096.48 | $2,754.23 | $11,481.54 |
Network Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Prevea360 Setting Facility Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $2,137.96 | Facility | None | $1,096.48 | $1,174.90 | $2,137.96 |
Quartz Setting Professional Modifier None Typical Low $1,348.96 Median $2,884.03 Typical High $3,981.07 | Professional | None | $1,348.96 | $2,884.03 | $3,981.07 |
Quartz Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,677.35 | Professional | None | $4,365.16 | $4,365.16 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Security Health Setting Professional Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $8,128.31 | Professional | None | $5,623.41 | $6,025.60 | $8,128.31 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $5,248.07 | Professional | None | $1,000.00 | $2,398.83 | $5,248.07 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $9,772.37 | Professional | 52 · Reduced service | $891.25 | $891.25 | $9,772.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $3,890.45 | Professional | 53 · Discontinued | $354.81 | $354.81 | $3,890.45 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $724.44 Median $912.01 Typical High $1,148.15 | Facility | 80 · Assistant surgeon | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $724.44 Median $912.01 Typical High $1,148.15 | Facility | 81 · Minimal assistant surgeon | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $724.44 Median $912.01 Typical High $1,148.15 | Facility | 82 · Assistant surgeon, no resident | $724.44 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $645.65 Median $794.33 Typical High $1,000.00 | Facility | AS · PA/NP assist | $645.65 | $794.33 | $1,000.00 |
Where Wisconsin sits
The same service costs 70.8 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$3,548
AK $4,786NY $67.61
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.