How much rates vary
Facilitymedian $355 · 10th to 90th $186 to $617Professionalmedian $363 · 10th to 90th $170 to $1,660
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,737.80 | Professional | None | $323.59 | $323.59 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $1,513.56 | Professional | None | $169.82 | $309.03 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $776.25 | Facility | None | $457.09 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $588.84 | Professional | None | $251.19 | $295.12 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $371.54 | Facility | None | $154.88 | $199.53 | $371.54 |
DeanCare Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $524.81 | Professional | None | $309.03 | $354.81 | $524.81 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $3,548.13 | Facility | None | $154.88 | $199.53 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $1,348.96 Typical High $1,737.80 | Professional | None | $239.88 | $1,348.96 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $446.68 | Facility | None | $295.12 | $295.12 | $446.68 |
Network Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $549.54 | Professional | None | $147.91 | $199.53 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $371.54 | Facility | None | $154.88 | $199.53 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $380.19 Typical High $758.58 | Professional | None | $186.21 | $380.19 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $467.74 | Professional | None | $251.19 | $251.19 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $1,000.00 Typical High $1,659.59 | Professional | None | $245.47 | $1,000.00 | $1,659.59 |
The Alliance Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $1,318.26 | Professional | None | $407.38 | $416.87 | $1,318.26 |
United Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $1,348.96 | Professional | None | $204.17 | $426.58 | $1,348.96 |
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 $162.18 Median $162.18 Typical High $870.96 | Professional | 52 · Reduced service | $162.18 | $162.18 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $346.74 | Professional | 53 · Discontinued | $64.57 | $64.57 | $346.74 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | 80 · Assistant surgeon | $48.98 | $56.23 | $85.11 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $48.98 | $56.23 | $85.11 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $56.23 | $85.11 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $48.98 Typical High $74.13 | Professional | AS · PA/NP assist | $42.66 | $48.98 | $74.13 |
Where Wisconsin sits
The same service costs 2.5 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· 6th of 51
$363
MN $407FL $162
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.