How much rates vary
Facilitymedian $102 · 10th to 90th $76 to $324Professionalmedian $102 · 10th to 90th $76 to $234
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 $75.86 Median $87.10 Typical High $102.33 | Facility | None | $75.86 | $87.10 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $102.33 | Professional | None | $75.86 | $87.10 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $323.59 | Professional | None | $91.20 | $104.71 | $323.59 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $141.25 | Professional | None | $91.20 | $131.83 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $478.63 | Facility | None | $281.84 | $323.59 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $128.82 Typical High $162.18 | Professional | None | $60.26 | $128.82 | $162.18 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $218.78 | Facility | None | $100.00 | $120.23 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $162.18 | Professional | None | $120.23 | $138.04 | $162.18 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $407.38 | Facility | None | $100.00 | $120.23 | $407.38 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $660.69 | Professional | None | $81.28 | $109.65 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Facility | None | $151.36 | $151.36 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $208.93 | Professional | None | $81.28 | $81.28 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $218.78 | Facility | None | $100.00 | $120.23 | $218.78 |
Prevea360 Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | None | $114.82 | $144.54 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $120.23 | Professional | None | $60.26 | $69.18 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $199.53 Typical High $380.19 | Professional | None | $123.03 | $199.53 | $380.19 |
The Alliance Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $190.55 | Professional | None | $81.28 | $87.10 | $190.55 |
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 $81.28 Median $81.28 Typical High $204.17 | Professional | None | $81.28 | $81.28 | $204.17 |
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 $19.05 Median $22.39 Typical High $25.70 | Professional | 80 · Assistant surgeon | $19.05 | $22.39 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $22.39 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $19.05 | $22.39 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $22.39 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $22.39 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $19.50 Typical High $22.91 | Professional | AS · PA/NP assist | $16.60 | $19.50 | $22.91 |
Where Wisconsin sits
The same service costs 1.7 times more in Alaska 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· 15th of 51
$102
AK $132OH $75.86
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.