How much rates vary
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $346.74 | Professional | None | $40.74 | $56.23 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $245.47 | Professional | None | $28.18 | $57.54 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $128.82 | Facility | None | $75.86 | $87.10 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $97.72 | Professional | None | $43.65 | $47.86 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $60.26 | Facility | None | $26.92 | $34.67 | $60.26 |
DeanCare Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $85.11 | Professional | None | $52.48 | $60.26 | $85.11 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $60.26 | Facility | None | $26.92 | $34.67 | $60.26 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $95.50 Typical High $323.59 | Professional | None | $36.31 | $95.50 | $323.59 |
Network Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $66.07 | Facility | None | $44.67 | $44.67 | $66.07 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $75.86 | Professional | None | $25.70 | $33.11 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $60.26 | Facility | None | $26.92 | $34.67 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $114.82 | Professional | None | $32.36 | $64.57 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None | $43.65 | $43.65 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $257.04 | Professional | None | $117.49 | $154.88 | $257.04 |
The Alliance Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $239.88 | Professional | None | $66.07 | $154.88 | $239.88 |
United Setting Professional Modifier None Typical Low $33.88 Median $64.57 Typical High $128.82 | Professional | None | $33.88 | $64.57 | $128.82 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $9.55 Typical High $13.80 | Professional | 80 · Assistant surgeon | $8.32 | $9.55 | $13.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $9.55 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $8.32 | $9.55 | $13.80 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $9.55 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $9.55 | $13.80 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $8.32 Typical High $12.02 | Professional | AS · PA/NP assist | $7.24 | $8.32 | $12.02 |
Where Wisconsin sits
The same service costs 2.5 times more in Alaska than in Maryland. 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
$57.54
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.