How much rates vary
Facilitymedian $178 · 10th to 90th $126 to $490Professionalmedian $178 · 10th to 90th $126 to $776
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 $125.89 Median $125.89 Typical High $165.96 | Facility | None | $125.89 | $125.89 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $165.96 | Professional | None | $125.89 | $151.36 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $416.87 | Professional | None | $120.23 | $165.96 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $724.44 | Facility | None | $426.58 | $489.78 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $245.47 | Professional | None | $144.54 | $181.97 | $245.47 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $331.13 | Facility | None | $134.90 | $177.83 | $331.13 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $371.54 | Professional | None | $190.55 | $275.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $407.38 | Facility | None | $134.90 | $177.83 | $407.38 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,047.13 | Professional | None | $512.86 | $776.25 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $251.19 | Facility | None | $186.21 | $186.21 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $288.40 | Professional | None | $120.23 | $120.23 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $331.13 | Facility | None | $134.90 | $177.83 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $354.81 | Professional | None | $125.89 | $204.17 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $309.03 | Professional | None | $134.90 | $177.83 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $575.44 | Professional | None | $147.91 | $288.40 | $575.44 |
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 $151.36 Median $281.84 Typical High $602.56 | Professional | None | $151.36 | $281.84 | $602.56 |
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 $30.90 Median $44.67 Typical High $58.88 | Professional | 80 · Assistant surgeon | $30.90 | $44.67 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $30.90 | $44.67 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $44.67 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $38.90 Typical High $51.29 | Professional | AS · PA/NP assist | $26.92 | $38.90 | $51.29 |
Where Wisconsin sits
The same service costs 2.4 times more in Alaska than in Kentucky. 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· 12th of 51
$178
AK $288KY $120
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.