How much rates vary
Facilitymedian $100 · 10th to 90th $83 to $282Professionalmedian $93 · 10th to 90th $68 to $316
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 $83.18 Median $93.33 Typical High $93.33 | Facility | None | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $93.33 | Professional | None | $83.18 | $89.13 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $316.23 | Professional | None | $77.62 | $87.10 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Facility | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $190.55 | Professional | None | $60.26 | $74.13 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $181.97 | Facility | None | $83.18 | $100.00 | $181.97 |
DeanCare Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $223.87 | Professional | None | $125.89 | $162.18 | $223.87 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $398.11 | Facility | None | $83.18 | $107.15 | $398.11 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $575.44 | Professional | None | $79.43 | $107.15 | $575.44 |
Network Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Facility | None | $120.23 | $120.23 | $165.96 |
Network Health Setting Professional Modifier None Typical Low $67.61 Median $173.78 Typical High $229.09 | Professional | None | $67.61 | $173.78 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $181.97 | Facility | None | $83.18 | $100.00 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $245.47 | Professional | None | $70.79 | $100.00 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $109.65 | Professional | None | $60.26 | $67.61 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None | $100.00 | $100.00 | $112.20 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $234.42 Typical High $512.86 | Professional | None | $87.10 | $234.42 | $512.86 |
The Alliance Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $288.40 | Professional | None | $63.10 | $93.33 | $288.40 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $25.70 Typical High $36.31 | Professional | 80 · Assistant surgeon | $20.42 | $25.70 | $36.31 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $25.70 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $20.42 | $25.70 | $36.31 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $25.70 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $25.70 | $36.31 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $22.91 Typical High $31.62 | Professional | AS · PA/NP assist | $17.78 | $22.91 | $31.62 |
Where Wisconsin sits
The same service costs 3.0 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· 20th of 51
$93.33
AK $200FL $66.07
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.