How much rates vary
Facilitymedian $148 · 10th to 90th $78 to $257Professionalmedian $166 · 10th to 90th $69 to $759
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $912.01 | Professional | None | $131.83 | $134.90 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $125.89 Typical High $562.34 | Professional | None | $69.18 | $125.89 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $323.59 | Facility | None | $190.55 | $218.78 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $239.88 | Professional | None | $104.71 | $123.03 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $165.96 | Facility | None | $64.57 | $83.18 | $165.96 |
DeanCare Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Professional | None | $128.82 | $147.91 | $218.78 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $1,905.46 | Facility | None | $64.57 | $97.72 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $588.84 Typical High $1,548.82 | Professional | None | $107.15 | $588.84 | $1,548.82 |
Network Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $186.21 | Facility | None | $117.49 | $117.49 | $186.21 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $234.42 | Professional | None | $61.66 | $79.43 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $165.96 | Facility | None | $64.57 | $83.18 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $338.84 | Professional | None | $77.62 | $154.88 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | None | $104.71 | $104.71 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $660.69 | Professional | None | $371.54 | $467.74 | $660.69 |
The Alliance Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $549.54 | Professional | None | $165.96 | $295.12 | $549.54 |
United Setting Professional Modifier None Typical Low $89.13 Median $199.53 Typical High $602.56 | Professional | None | $89.13 | $199.53 | $602.56 |
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 $67.61 Median $67.61 Typical High $457.09 | Professional | 52 · Reduced service | $67.61 | $67.61 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $181.97 | Professional | 53 · Discontinued | $26.92 | $26.92 | $181.97 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | 80 · Assistant surgeon | $20.42 | $23.44 | $35.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $20.42 | $23.44 | $35.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $23.44 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $23.44 | $35.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $20.42 Typical High $30.90 | Professional | AS · PA/NP assist | $17.78 | $20.42 | $30.90 |
Where Wisconsin sits
The same service costs 2.8 times more in Minnesota 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
$166
MN $174UT $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.