How much rates vary
Facilitymedian $34 · 10th to 90th $25 to $98Professionalmedian $34 · 10th to 90th $25 to $135
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 $24.55 Median $24.55 Typical High $33.88 | Facility | None | $24.55 | $24.55 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $33.88 | Professional | None | $24.55 | $31.62 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $93.33 | Professional | None | $28.84 | $31.62 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $72.44 | Professional | None | $39.81 | $51.29 | $72.44 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $47.86 | Facility | None | $26.30 | $33.11 | $47.86 |
DeanCare Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $74.13 | Professional | None | $36.31 | $53.70 | $74.13 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $47.86 | Facility | None | $25.12 | $30.20 | $47.86 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $199.53 | Professional | None | $85.11 | $151.36 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Network Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | None | $23.99 | $23.99 | $30.20 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $47.86 | Facility | None | $26.30 | $33.11 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $69.18 | Professional | None | $23.44 | $36.31 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $75.86 | Professional | None | $26.30 | $36.31 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | None | $29.51 | $29.51 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $165.96 | Professional | None | $34.67 | $69.18 | $165.96 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $114.82 | Professional | None | $29.51 | $54.95 | $114.82 |
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 $5.89 Median $8.71 Typical High $11.75 | Professional | 80 · Assistant surgeon | $5.89 | $8.71 | $11.75 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $8.71 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $5.89 | $8.71 | $11.75 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $8.71 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $8.71 | $11.75 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $7.59 Typical High $10.23 | Professional | AS · PA/NP assist | $5.13 | $7.59 | $10.23 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 14th of 51
$33.88
AK $70.79MD $22.91
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.