How much rates vary
Facilitymedian $35 · 10th to 90th $20 to $56Professionalmedian $44 · 10th to 90th $18 to $224
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $346.74 | Professional | None | $28.84 | $35.48 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $144.54 | Professional | None | $17.78 | $36.31 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $81.28 | Facility | None | $47.86 | $53.70 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $64.57 | Professional | None | $27.54 | $30.90 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $52.48 | Facility | None | $16.98 | $21.88 | $52.48 |
DeanCare Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $57.54 | Professional | None | $33.11 | $38.02 | $57.54 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $52.48 | Facility | None | $16.98 | $21.88 | $52.48 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $177.83 Typical High $436.52 | Professional | None | $30.90 | $177.83 | $436.52 |
Network Health Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $52.48 | Facility | None | $28.18 | $28.18 | $52.48 |
Network Health Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $70.79 | Professional | None | $16.22 | $20.42 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $52.48 | Facility | None | $16.98 | $21.88 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $102.33 | Professional | None | $19.50 | $38.90 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $43.65 | Professional | None | $27.54 | $27.54 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | None | $109.65 | $141.25 | $169.82 |
The Alliance Setting Professional Modifier None Typical Low $37.15 Median $93.33 Typical High $147.91 | Professional | None | $37.15 | $93.33 | $147.91 |
United Setting Professional Modifier None Typical Low $26.92 Median $56.23 Typical High $177.83 | Professional | None | $26.92 | $56.23 | $177.83 |
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 $17.78 Median $17.78 Typical High $173.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $69.18 | Professional | 53 · Discontinued | $7.08 | $7.08 | $69.18 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $6.03 Typical High $9.12 | Professional | 80 · Assistant surgeon | $5.25 | $6.03 | $9.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $6.03 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $5.25 | $6.03 | $9.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $6.03 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $6.03 | $9.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $5.37 Typical High $7.94 | Professional | AS · PA/NP assist | $4.68 | $5.37 | $7.94 |
Where Wisconsin sits
The same service costs 2.6 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· 4th of 51
$43.65
MN $47.86PA $18.62
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.