How much rates vary
Facilitymedian $89 · 10th to 90th $69 to $275Professionalmedian $98 · 10th to 90th $62 to $288
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 $61.66 Median $74.13 Typical High $97.72 | Facility | None | $61.66 | $74.13 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $97.72 | Professional | None | $61.66 | $81.28 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $275.42 | Professional | None | $85.11 | $102.33 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $158.49 | Professional | None | $60.26 | $102.33 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $208.93 | Facility | None | $89.13 | $104.71 | $208.93 |
DeanCare Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $239.88 | Professional | None | $131.83 | $181.97 | $239.88 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $234.42 | Facility | None | $89.13 | $117.49 | $234.42 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $660.69 | Professional | None | $331.13 | $562.34 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
Network Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $208.93 | Professional | None | $77.62 | $77.62 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $208.93 | Facility | None | $89.13 | $104.71 | $208.93 |
Prevea360 Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $218.78 | Professional | None | $89.13 | $134.90 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $120.23 | Professional | None | $60.26 | $70.79 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None | $128.82 | $128.82 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $371.54 | Professional | None | $104.71 | $173.78 | $371.54 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $416.87 | Professional | None | $102.33 | $190.55 | $416.87 |
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 $21.38 Median $29.51 Typical High $38.90 | Professional | 80 · Assistant surgeon | $21.38 | $29.51 | $38.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $29.51 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $21.38 | $29.51 | $38.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $29.51 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $29.51 | $38.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $25.70 Typical High $33.88 | Professional | AS · PA/NP assist | $18.62 | $25.70 | $33.88 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 17th of 51
$97.72
HI $170AZ $74.13
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.