How much rates vary
Facilitymedian $126 · 10th to 90th $45 to $1,259Professionalmedian $123 · 10th to 90th $42 to $316
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 $60.26 Median $60.26 Typical High $199.53 | Facility | None | $60.26 | $60.26 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $371.54 | Professional | None | $60.26 | $60.26 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $158.49 Typical High $338.84 | Professional | None | $38.02 | $158.49 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $186.21 | Facility | None | $109.65 | $125.89 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $141.25 Typical High $223.87 | Professional | None | $57.54 | $141.25 | $223.87 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $1,122.02 Typical High $1,513.56 | Facility | None | $44.67 | $1,122.02 | $1,513.56 |
DeanCare Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | None | $79.43 | $93.33 | $112.20 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $1,023.29 | Facility | None | $33.88 | $47.86 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $104.71 Typical High $257.04 | Professional | None | $44.67 | $104.71 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Network Health Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $123.03 | Professional | None | $56.23 | $97.72 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $44.67 Typical High $77.62 | Facility | None | $33.88 | $44.67 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $173.78 | Professional | None | $45.71 | $95.50 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $147.91 | Professional | None | $57.54 | $57.54 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $251.19 Typical High $316.23 | Professional | None | $114.82 | $251.19 | $316.23 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $269.15 | Professional | None | $41.69 | $104.71 | $269.15 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 80 · Assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 81 · Minimal assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 82 · Assistant surgeon, no resident | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $213.80 | Facility | AS · PA/NP assist | $138.04 | $169.82 | $213.80 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$126
AK $162FL $36.31
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.