How much rates vary
Facilitymedian $145 · 10th to 90th $110 to $372Professionalmedian $148 · 10th to 90th $100 to $398
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $288.40 | Professional | None | $109.65 | $109.65 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $371.54 | Professional | None | $100.00 | $147.91 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $323.59 Typical High $478.63 | Facility | None | $281.84 | $323.59 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $309.03 | Professional | None | $128.82 | $162.18 | $309.03 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $218.78 | Facility | None | $97.72 | $125.89 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $190.55 Typical High $251.19 | Professional | None | $186.21 | $190.55 | $251.19 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $218.78 | Facility | None | $97.72 | $117.49 | $218.78 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $223.87 Typical High $660.69 | Professional | None | $97.72 | $223.87 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $199.53 | Facility | None | $158.49 | $158.49 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $229.09 | Professional | None | $93.33 | $114.82 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $218.78 | Facility | None | $97.72 | $125.89 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $363.08 | Professional | None | $114.82 | $213.80 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $158.49 | Professional | None | $87.10 | $128.82 | $158.49 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $630.96 | Professional | None | $234.42 | $295.12 | $630.96 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $457.09 | Professional | None | $100.00 | $158.49 | $457.09 |
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 $53.70 Median $54.95 Typical High $144.54 | Professional | 52 · Reduced service | $53.70 | $54.95 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $57.54 | Professional | 53 · Discontinued | $21.38 | $21.88 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $43.65 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $28.84 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $28.84 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $30.90 Typical High $40.74 | Professional | 80 · Assistant surgeon | $30.20 | $30.90 | $40.74 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $30.90 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $30.20 | $30.90 | $40.74 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $30.90 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $30.90 | $40.74 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $26.92 Typical High $35.48 | Professional | AS · PA/NP assist | $26.30 | $26.92 | $35.48 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 9th of 51
$148
AK $224KY $63.10
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.