How much rates vary
Facilitymedian $25 · 10th to 90th $20 to $66Professionalmedian $23 · 10th to 90th $16 to $78
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 $19.95 Median $22.91 Typical High $22.91 | Facility | None | $19.95 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $22.91 | Professional | None | $19.95 | $20.89 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $77.62 | Professional | None | $18.20 | $21.38 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $100.00 | Facility | None | $58.88 | $66.07 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $45.71 | Professional | None | $14.13 | $18.20 | $45.71 |
DeanCare Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $43.65 | Facility | None | $20.42 | $24.55 | $43.65 |
DeanCare Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $54.95 | Professional | None | $30.90 | $38.90 | $54.95 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $43.65 | Facility | None | $20.42 | $24.55 | $43.65 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $138.04 | Professional | None | $18.62 | $25.70 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.02 | Facility | None | $28.84 | $28.84 | $38.02 |
Network Health Setting Professional Modifier None Typical Low $16.22 Median $41.69 Typical High $56.23 | Professional | None | $16.22 | $41.69 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $43.65 | Facility | None | $20.42 | $24.55 | $43.65 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $58.88 | Professional | None | $16.60 | $25.70 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $26.92 | Professional | None | $14.13 | $16.22 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
Security Health Setting Professional Modifier None Typical Low $22.91 Median $56.23 Typical High $120.23 | Professional | None | $22.91 | $56.23 | $120.23 |
The Alliance Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $67.61 | Professional | None | $14.79 | $22.39 | $67.61 |
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 $4.90 Median $6.31 Typical High $8.91 | Professional | 80 · Assistant surgeon | $4.90 | $6.31 | $8.91 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $6.31 Typical High $8.91 | Professional | 81 · Minimal assistant surgeon | $4.90 | $6.31 | $8.91 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $6.31 Typical High $8.91 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $6.31 | $8.91 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $5.50 Typical High $7.76 | Professional | AS · PA/NP assist | $4.37 | $5.50 | $7.76 |
Where Wisconsin sits
The same service costs 3.1 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· 18th of 51
$22.91
AK $47.86FL $15.49
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.