How much rates vary
Facilitymedian $56 · 10th to 90th $20 to $631Professionalmedian $54 · 10th to 90th $17 to $257
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 Professional Modifier None Typical Low $34.67 Median $288.40 Typical High $707.95 | Professional | None | $34.67 | $288.40 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $141.25 | Professional | None | $17.38 | $34.67 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $83.18 | Facility | None | $48.98 | $54.95 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $102.33 | Professional | None | $28.18 | $47.86 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $47.86 | Facility | None | $16.60 | $20.89 | $47.86 |
DeanCare Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $56.23 | Professional | None | $32.36 | $37.15 | $56.23 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $338.84 Typical High $660.69 | Facility | None | $20.89 | $338.84 | $660.69 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $169.82 Typical High $309.03 | Professional | None | $30.90 | $169.82 | $309.03 |
Network Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $56.23 | Facility | None | $28.84 | $28.84 | $56.23 |
Network Health Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $67.61 | Professional | None | $15.85 | $19.95 | $67.61 |
Prevea360 Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $47.86 | Facility | None | $16.60 | $20.89 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $97.72 | Professional | None | $19.95 | $39.81 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $173.78 | Professional | None | $107.15 | $147.91 | $173.78 |
The Alliance Setting Professional Modifier None Typical Low $37.15 Median $91.20 Typical High $158.49 | Professional | None | $37.15 | $91.20 | $158.49 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $173.78 | Professional | None | $25.70 | $57.54 | $173.78 |
7 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 Facility Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | 53 · Discontinued | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $177.83 | Professional | 52 · Reduced service | $16.98 | $16.98 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $70.79 | Professional | 53 · Discontinued | $6.92 | $6.92 | $70.79 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $6.03 Typical High $8.91 | Professional | 80 · Assistant surgeon | $5.25 | $6.03 | $8.91 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $6.03 Typical High $8.91 | Professional | 81 · Minimal assistant surgeon | $5.25 | $6.03 | $8.91 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $6.03 Typical High $8.91 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $6.03 | $8.91 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $5.25 Typical High $7.76 | Professional | AS · PA/NP assist | $4.57 | $5.25 | $7.76 |
Where Wisconsin sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 2nd of 51
$53.70
MN $53.70PA $17.78
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.