How much rates vary
Facilitymedian $141 · 10th to 90th $81 to $229Professionalmedian $155 · 10th to 90th $68 to $661
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $575.44 | Professional | None | $117.49 | $141.25 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $562.34 | Professional | None | $67.61 | $134.90 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $338.84 | Facility | None | $199.53 | $223.87 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $257.04 | Professional | None | $109.65 | $128.82 | $257.04 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $151.36 | Facility | None | $67.61 | $87.10 | $151.36 |
DeanCare Setting Professional Modifier None Typical Low $131.83 Median $151.36 Typical High $213.80 | Professional | None | $131.83 | $151.36 | $213.80 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $91.20 Typical High $173.78 | Facility | None | $67.61 | $91.20 | $173.78 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $467.74 Typical High $1,412.54 | Professional | None | $87.10 | $467.74 | $1,412.54 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $158.49 | Facility | None | $104.71 | $104.71 | $158.49 |
Network Health Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $204.17 | Professional | None | $64.57 | $81.28 | $204.17 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $151.36 | Facility | None | $67.61 | $87.10 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $316.23 | Professional | None | $81.28 | $162.18 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None | $109.65 | $109.65 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $602.56 | Professional | None | $309.03 | $416.87 | $602.56 |
The Alliance Setting Professional Modifier None Typical Low $162.18 Median $446.68 Typical High $575.44 | Professional | None | $162.18 | $446.68 | $575.44 |
United Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $467.74 | Professional | None | $75.86 | $158.49 | $467.74 |
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 $70.79 Median $70.79 Typical High $398.11 | Professional | 52 · Reduced service | $70.79 | $70.79 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $158.49 | Professional | 53 · Discontinued | $28.18 | $28.18 | $158.49 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $24.55 Typical High $33.88 | Professional | 80 · Assistant surgeon | $21.38 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $24.55 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $21.38 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $24.55 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $21.38 Typical High $30.20 | Professional | AS · PA/NP assist | $18.62 | $21.38 | $30.20 |
Where Wisconsin sits
The same service costs 2.7 times more in Minnesota 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· 3rd of 51
$155
MN $166FL $61.66
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.