How much rates vary
Facilitymedian $50 · 10th to 90th $14 to $115Professionalmedian $55 · 10th to 90th $17 to $224
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 Facility Modifier None Typical Low $22.39 Median $30.90 Typical High $69.18 | Facility | None | $22.39 | $30.90 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $51.29 Typical High $218.78 | Professional | None | $15.49 | $51.29 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $53.70 Typical High $234.42 | Professional | None | $15.85 | $53.70 | $234.42 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | None | $44.67 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $112.20 Typical High $169.82 | Facility | None | $100.00 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $41.69 Typical High $114.82 | Professional | None | $17.38 | $41.69 | $114.82 |
DeanCare Setting Facility Modifier None Typical Low $12.88 Median $23.44 Typical High $50.12 | Facility | None | $12.88 | $23.44 | $50.12 |
DeanCare Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $97.72 | Professional | None | $20.42 | $34.67 | $97.72 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $40.74 Typical High $389.05 | Facility | None | $12.88 | $40.74 | $389.05 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $245.47 | Professional | None | $50.12 | $74.13 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Network Health Setting Professional Modifier None Typical Low $16.60 Median $50.12 Typical High $93.33 | Professional | None | $16.60 | $50.12 | $93.33 |
Prevea360 Setting Facility Modifier None Typical Low $12.88 Median $23.44 Typical High $50.12 | Facility | None | $12.88 | $23.44 | $50.12 |
Quartz Setting Professional Modifier None Typical Low $13.18 Median $48.98 Typical High $114.82 | Professional | None | $13.18 | $48.98 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $17.38 Median $39.81 Typical High $70.79 | Professional | None | $17.38 | $39.81 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $125.89 | Professional | None | $38.90 | $38.90 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $114.82 Typical High $316.23 | Professional | None | $47.86 | $114.82 | $316.23 |
United Setting Professional Modifier None Typical Low $15.14 Median $48.98 Typical High $162.18 | Professional | None | $15.14 | $48.98 | $162.18 |
8 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 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $34.67 | Facility | 52 · Reduced service | $11.22 | $11.22 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $13.80 | Facility | 53 · Discontinued | $4.47 | $4.47 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $34.67 Typical High $199.53 | Professional | 52 · Reduced service | $11.22 | $34.67 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $13.80 Typical High $79.43 | Professional | 53 · Discontinued | $4.47 | $13.80 | $79.43 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.31 Median $5.50 Typical High $15.85 | Professional | 80 · Assistant surgeon | $3.31 | $5.50 | $15.85 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.31 Median $5.50 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $3.31 | $5.50 | $15.85 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.31 Median $5.50 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $3.31 | $5.50 | $15.85 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $2.88 Median $4.79 Typical High $13.80 | Professional | AS · PA/NP assist | $2.88 | $4.79 | $13.80 |
Where Wisconsin sits
The same service costs 2.5 times more in Kansas 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· 2nd of 51
$54.95
KS $54.95MD $22.39
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.