How much rates vary
Facilitymedian $380 · 10th to 90th $170 to $776Professionalmedian $302 · 10th to 90th $191 to $759
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 $169.82 Median $169.82 Typical High $269.15 | Facility | None | $169.82 | $169.82 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $707.95 | Professional | None | $169.82 | $169.82 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $758.58 | Professional | None | $213.80 | $316.23 | $758.58 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,047.13 | Facility | None | $616.60 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $676.08 | Professional | None | $281.84 | $346.74 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $478.63 | Facility | None | $144.54 | $263.03 | $478.63 |
DeanCare Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $457.09 | Professional | None | $363.08 | $416.87 | $457.09 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $776.25 | Facility | None | $245.47 | $478.63 | $776.25 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $1,445.44 | Professional | None | $208.93 | $389.05 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $501.19 | Professional | None | $204.17 | $204.17 | $501.19 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $478.63 | Facility | None | $144.54 | $263.03 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $436.52 Typical High $794.33 | Professional | None | $251.19 | $436.52 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $346.74 | Professional | None | $194.98 | $281.84 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $724.44 | Professional | None | $302.00 | $457.09 | $724.44 |
The Alliance Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $831.76 | Professional | None | $208.93 | $302.00 | $831.76 |
5 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 $85.11 Median $85.11 Typical High $354.81 | Professional | 52 · Reduced service | $85.11 | $85.11 | $354.81 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $67.61 Typical High $72.44 | Professional | 80 · Assistant surgeon | $58.88 | $67.61 | $72.44 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $67.61 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $58.88 | $67.61 | $72.44 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $67.61 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $67.61 | $72.44 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $58.88 Typical High $63.10 | Professional | AS · PA/NP assist | $51.29 | $58.88 | $63.10 |
Where Wisconsin sits
The same service costs 3.2 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· 10th of 51
$302
AK $501FL $155
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.