How much rates vary
Facilitymedian $76 · 10th to 90th $23 to $229Professionalmedian $81 · 10th to 90th $27 to $269
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 $23.44 Median $23.44 Typical High $75.86 | Facility | None | $23.44 | $23.44 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $75.86 Typical High $776.25 | Professional | None | $23.44 | $75.86 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $239.88 | Professional | None | $34.67 | $79.43 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $338.84 | Facility | None | $199.53 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $89.13 Typical High $186.21 | Professional | None | $26.92 | $89.13 | $186.21 |
DeanCare Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $128.82 | Facility | None | $25.12 | $45.71 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $186.21 | Professional | None | $39.81 | $75.86 | $186.21 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $67.61 Typical High $794.33 | Facility | None | $25.12 | $67.61 | $794.33 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $269.15 Typical High $436.52 | Professional | None | $85.11 | $269.15 | $436.52 |
Network Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $173.78 | Professional | None | $52.48 | $67.61 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $128.82 | Facility | None | $25.12 | $45.71 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $31.62 Median $97.72 Typical High $199.53 | Professional | None | $31.62 | $97.72 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $72.44 Typical High $134.90 | Professional | None | $26.92 | $72.44 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $85.11 | Professional | None | $27.54 | $27.54 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $56.23 Median $134.90 Typical High $380.19 | Professional | None | $56.23 | $134.90 | $380.19 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $32.36 Median $87.10 Typical High $257.04 | Professional | None | $32.36 | $87.10 | $257.04 |
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 Facility Modifier 52 · Reduced service Typical Low $11.48 Median $11.48 Typical High $38.02 | Facility | 52 · Reduced service | $11.48 | $11.48 | $38.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $15.14 | Facility | 53 · Discontinued | $4.68 | $4.68 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $38.02 Typical High $380.19 | Professional | 52 · Reduced service | $11.48 | $38.02 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $15.14 Typical High $154.88 | Professional | 53 · Discontinued | $4.68 | $15.14 | $154.88 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $12.30 Typical High $29.51 | Professional | 80 · Assistant surgeon | $6.46 | $12.30 | $29.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $12.30 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $6.46 | $12.30 | $29.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $12.30 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $12.30 | $29.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $10.72 Typical High $25.70 | Professional | AS · PA/NP assist | $5.62 | $10.72 | $25.70 |
Where Wisconsin sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 6th of 51
$81.28
HI $91.20DC $23.44
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.