How much rates vary
Facilitymedian $234 · 10th to 90th $132 to $398Professionalmedian $229 · 10th to 90th $123 to $871
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $831.76 | Professional | None | $229.09 | $229.09 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $891.25 | Professional | None | $123.03 | $245.47 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $549.54 | Facility | None | $323.59 | $371.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $407.38 | Professional | None | $177.83 | $204.17 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Facility | None | $109.65 | $141.25 | $251.19 |
DeanCare Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $371.54 | Professional | None | $213.80 | $245.47 | $371.54 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $398.11 | Facility | None | $109.65 | $169.82 | $398.11 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $407.38 Typical High $912.01 | Professional | None | $144.54 | $407.38 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Network Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $302.00 | Professional | None | $104.71 | $104.71 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Facility | None | $109.65 | $141.25 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $275.42 Typical High $457.09 | Professional | None | $147.91 | $275.42 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $269.15 | Professional | None | $177.83 | $177.83 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $870.96 | Professional | None | $257.04 | $302.00 | $870.96 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $512.86 | Professional | None | $141.25 | $251.19 | $512.86 |
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 $112.20 Median $112.20 Typical High $416.87 | Professional | 52 · Reduced service | $112.20 | $112.20 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $165.96 | Professional | 53 · Discontinued | $45.71 | $45.71 | $165.96 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $39.81 Typical High $58.88 | Professional | 80 · Assistant surgeon | $34.67 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $39.81 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $34.67 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $39.81 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $34.67 Typical High $51.29 | Professional | AS · PA/NP assist | $30.20 | $34.67 | $51.29 |
Where Wisconsin sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 8th of 51
$229
MN $288KY $95.50
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.