How much rates vary
Facilitymedian $31 · 10th to 90th $16 to $60Professionalmedian $17 · 10th to 90th $12 to $56
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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $17.38 | Professional | None | $15.14 | $15.85 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $20.89 Typical High $63.10 | Professional | None | $14.45 | $20.89 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $67.61 | Facility | None | $39.81 | $44.67 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $16.98 Typical High $39.81 | Professional | None | $11.22 | $16.98 | $39.81 |
DeanCare Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $31.62 | Facility | None | $14.13 | $20.89 | $31.62 |
DeanCare Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $38.02 | Professional | None | $26.92 | $31.62 | $38.02 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $100.00 | Facility | None | $16.98 | $21.38 | $100.00 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $97.72 | Professional | None | $14.13 | $17.38 | $97.72 |
Network Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Facility | None | $22.39 | $22.39 | $30.90 |
Network Health Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $39.81 | Professional | None | $11.22 | $22.39 | $39.81 |
Prevea360 Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $31.62 | Facility | None | $14.13 | $20.89 | $31.62 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $19.95 Typical High $45.71 | Professional | None | $13.80 | $19.95 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $24.55 | Professional | None | $11.22 | $11.22 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | None | $26.30 | $26.30 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $16.60 Median $31.62 Typical High $47.86 | Professional | None | $16.60 | $31.62 | $47.86 |
The Alliance Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $54.95 | Professional | None | $21.88 | $36.31 | $54.95 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $51.29 | Professional | None | $13.49 | $16.60 | $51.29 |
6 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 $7.59 Median $7.94 Typical High $8.32 | Professional | 52 · Reduced service | $7.59 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $3.39 | Professional | 53 · Discontinued | $3.02 | $3.16 | $3.39 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.27 Median $5.01 Typical High $6.17 | Professional | 80 · Assistant surgeon | $4.27 | $5.01 | $6.17 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.27 Median $5.01 Typical High $6.17 | Professional | 81 · Minimal assistant surgeon | $4.27 | $5.01 | $6.17 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.27 Median $5.01 Typical High $6.17 | Professional | 82 · Assistant surgeon, no resident | $4.27 | $5.01 | $6.17 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $4.37 Typical High $5.37 | Professional | AS · PA/NP assist | $3.72 | $4.37 | $5.37 |
Where Wisconsin sits
The same service costs 2.7 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· 24th of 51
$16.98
AK $34.67FL $12.88
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.