How much rates vary
Facilitymedian $537 · 10th to 90th $372 to $1,096Professionalmedian $501 · 10th to 90th $355 to $1,288
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $1,584.89 | Professional | None | $346.74 | $371.54 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $776.25 Typical High $1,230.27 | Professional | None | $331.13 | $776.25 | $1,230.27 |
CareSource Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $501.19 | Professional | None | $331.13 | $331.13 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,584.89 | Facility | None | $933.25 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $1,023.29 | Professional | None | $380.19 | $398.11 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $724.44 | Facility | None | $331.13 | $416.87 | $724.44 |
DeanCare Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $851.14 | Professional | None | $630.96 | $707.95 | $851.14 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $724.44 | Facility | None | $331.13 | $416.87 | $724.44 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $691.83 Typical High $2,344.23 | Professional | None | $354.81 | $691.83 | $2,344.23 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
Network Health Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $891.25 | Professional | None | $446.68 | $645.65 | $891.25 |
Prevea360 Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $724.44 | Facility | None | $331.13 | $416.87 | $724.44 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $1,174.90 | Professional | None | $416.87 | $794.33 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $676.08 | Professional | None | $398.11 | $398.11 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,230.27 | Professional | None | $436.52 | $691.83 | $1,230.27 |
The Alliance Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,479.11 | Professional | None | $660.69 | $912.01 | $1,479.11 |
United Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $1,096.48 | Professional | None | $309.03 | $501.19 | $1,096.48 |
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 $100.00 Median $112.20 Typical High $134.90 | Professional | 80 · Assistant surgeon | $100.00 | $112.20 | $134.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $100.00 | $112.20 | $134.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $112.20 | $134.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $97.72 Typical High $117.49 | Professional | AS · PA/NP assist | $87.10 | $97.72 | $117.49 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska than in New York. 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· 13th of 51
$501
AK $794NY $282
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.