How much rates vary
Facilitymedian $302 · 10th to 90th $214 to $631Professionalmedian $316 · 10th to 90th $204 to $832
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $1,071.52 | Professional | None | $204.17 | $213.80 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $724.44 | Professional | None | $199.53 | $446.68 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $912.01 | Facility | None | $537.03 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | None | $229.09 | $229.09 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $416.87 | Facility | None | $190.55 | $239.88 | $416.87 |
DeanCare Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $489.78 | Professional | None | $363.08 | $426.58 | $489.78 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $416.87 | Facility | None | $190.55 | $239.88 | $416.87 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $1,348.96 | Professional | None | $213.80 | $446.68 | $1,348.96 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Facility | None | $302.00 | $302.00 | $371.54 |
Network Health Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $512.86 | Professional | None | $275.42 | $407.38 | $512.86 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $416.87 | Facility | None | $190.55 | $239.88 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $676.08 | Professional | None | $239.88 | $457.09 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $707.95 | Professional | None | $245.47 | $363.08 | $707.95 |
The Alliance Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $851.14 | Professional | None | $380.19 | $588.84 | $851.14 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $707.95 | Professional | None | $190.55 | $316.23 | $707.95 |
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 $57.54 Median $67.61 Typical High $77.62 | Professional | 80 · Assistant surgeon | $57.54 | $67.61 | $77.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $57.54 | $67.61 | $77.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $67.61 | $77.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $58.88 Typical High $67.61 | Professional | AS · PA/NP assist | $50.12 | $58.88 | $67.61 |
Where Wisconsin sits
The same service costs 3.1 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· 10th of 51
$316
AK $501NY $162
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.