How much rates vary
Facilitymedian $129 · 10th to 90th $110 to $468Professionalmedian $141 · 10th to 90th $105 to $295
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 $95.50 Median $109.65 Typical High $147.91 | Facility | None | $95.50 | $109.65 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $147.91 | Professional | None | $95.50 | $123.03 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $371.54 | Professional | None | $123.03 | $138.04 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $204.17 | Professional | None | $128.82 | $186.21 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $234.42 | Professional | None | $125.89 | $204.17 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $275.42 | Facility | None | $128.82 | $162.18 | $275.42 |
DeanCare Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $223.87 | Professional | None | $173.78 | $199.53 | $223.87 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $407.38 | Facility | None | $128.82 | $173.78 | $407.38 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $912.01 | Professional | None | $114.82 | $154.88 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None | $114.82 | $114.82 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $275.42 | Facility | None | $128.82 | $162.18 | $275.42 |
Prevea360 Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $338.84 | Professional | None | $144.54 | $208.93 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None | $181.97 | $181.97 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $501.19 | Professional | None | $151.36 | $234.42 | $501.19 |
The Alliance Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $199.53 | Professional | None | $102.33 | $125.89 | $199.53 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $288.40 | Professional | None | $112.20 | $114.82 | $288.40 |
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 Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $31.62 Typical High $36.31 | Professional | 80 · Assistant surgeon | $27.54 | $31.62 | $36.31 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $31.62 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $27.54 | $31.62 | $36.31 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $31.62 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $31.62 | $36.31 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $27.54 Typical High $31.62 | Professional | AS · PA/NP assist | $23.99 | $27.54 | $31.62 |
Where Wisconsin sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 19th of 51
$141
ND $186OH $107
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.