How much rates vary
Facilitymedian $178 · 10th to 90th $91 to $309Professionalmedian $155 · 10th to 90th $91 to $468
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $537.03 | Professional | None | $91.20 | $91.20 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $346.74 | Professional | None | $89.13 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $389.05 | Facility | None | $229.09 | $263.03 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $257.04 | Professional | None | $97.72 | $97.72 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $177.83 | Facility | None | $81.28 | $104.71 | $177.83 |
DeanCare Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $208.93 | Professional | None | $154.88 | $181.97 | $208.93 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $524.81 | Facility | None | $81.28 | $120.23 | $524.81 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $933.25 | Professional | None | $114.82 | $257.04 | $933.25 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $177.83 | Facility | None | $131.83 | $131.83 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $199.53 Typical High $223.87 | Professional | None | $123.03 | $199.53 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $177.83 | Facility | None | $81.28 | $104.71 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $257.04 | Professional | None | $85.11 | $169.82 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $154.88 | Professional | None | $97.72 | $97.72 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $309.03 | Professional | None | $123.03 | $173.78 | $309.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $346.74 | Professional | None | $93.33 | $158.49 | $346.74 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $269.15 | Professional | 52 · Reduced service | $45.71 | $45.71 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $107.15 | Professional | 53 · Discontinued | $18.20 | $18.20 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $81.28 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $53.70 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $53.70 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $28.84 Typical High $33.11 | Professional | 80 · Assistant surgeon | $24.55 | $28.84 | $33.11 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $28.84 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $24.55 | $28.84 | $33.11 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $28.84 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $28.84 | $33.11 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $25.70 Typical High $29.51 | Professional | AS · PA/NP assist | $21.38 | $25.70 | $29.51 |
Where Wisconsin sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 7th of 51
$155
AK $229FL $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.