How much rates vary
Facilitymedian $174 · 10th to 90th $95 to $389Professionalmedian $219 · 10th to 90th $95 to $525
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 $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $933.25 | Professional | None | $95.50 | $95.50 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $239.88 Typical High $354.81 | Professional | None | $93.33 | $239.88 | $354.81 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None | $109.65 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $416.87 | Facility | None | $245.47 | $281.84 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $389.05 | Professional | None | $112.20 | $138.04 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $190.55 | Facility | None | $85.11 | $109.65 | $190.55 |
DeanCare Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | None | $169.82 | $213.80 | $257.04 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $645.65 | Facility | None | $97.72 | $190.55 | $645.65 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $316.23 Typical High $741.31 | Professional | None | $114.82 | $316.23 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $177.83 | Facility | None | $138.04 | $138.04 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $234.42 | Professional | None | $128.82 | $223.87 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $190.55 | Facility | None | $85.11 | $109.65 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $407.38 | Professional | None | $102.33 | $204.17 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | None | $112.20 | $112.20 | $223.87 |
Security Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $457.09 Typical High $575.44 | Professional | None | $154.88 | $457.09 | $575.44 |
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 $102.33 Median $213.80 Typical High $363.08 | Professional | None | $102.33 | $213.80 | $363.08 |
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 $47.86 Median $47.86 Typical High $467.74 | Professional | 52 · Reduced service | $47.86 | $47.86 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $186.21 | Professional | 53 · Discontinued | $19.05 | $19.05 | $186.21 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $34.67 Typical High $41.69 | Professional | 80 · Assistant surgeon | $26.92 | $34.67 | $41.69 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $34.67 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $26.92 | $34.67 | $41.69 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $34.67 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $34.67 | $41.69 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $30.20 Typical High $36.31 | Professional | AS · PA/NP assist | $23.99 | $30.20 | $36.31 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 3rd of 51
$219
AK $245UT $64.57
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.