How much rates vary
Facilitymedian $69 · 10th to 90th $48 to $145Professionalmedian $98 · 10th to 90th $44 to $447
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $588.84 | Professional | None | $47.86 | $47.86 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $380.19 | Professional | None | $43.65 | $87.10 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $208.93 | Facility | None | $123.03 | $141.25 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $154.88 | Professional | None | $69.18 | $79.43 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $100.00 | Facility | None | $42.66 | $54.95 | $100.00 |
DeanCare Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $138.04 | Professional | None | $81.28 | $85.11 | $138.04 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $100.00 | Facility | None | $42.66 | $54.95 | $100.00 |
Medica Setting Professional Modifier None Typical Low $61.66 Median $218.78 Typical High $977.24 | Professional | None | $61.66 | $218.78 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $112.20 | Facility | None | $69.18 | $69.18 | $112.20 |
Network Health Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $131.83 | Professional | None | $40.74 | $51.29 | $131.83 |
Prevea360 Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $100.00 | Facility | None | $42.66 | $54.95 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $107.15 Typical High $199.53 | Professional | None | $52.48 | $107.15 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | None | $69.18 | $69.18 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $389.05 | Professional | None | $169.82 | $316.23 | $389.05 |
United Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $223.87 | Professional | None | $50.12 | $102.33 | $223.87 |
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 $23.99 Median $23.99 Typical High $295.12 | Professional | 52 · Reduced service | $23.99 | $23.99 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $117.49 | Professional | 53 · Discontinued | $9.55 | $9.55 | $117.49 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $13.80 Typical High $21.88 | Professional | 80 · Assistant surgeon | $13.18 | $13.80 | $21.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $13.80 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $13.18 | $13.80 | $21.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $13.80 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $13.80 | $21.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $12.02 Typical High $19.05 | Professional | AS · PA/NP assist | $11.48 | $12.02 | $19.05 |
Where Wisconsin sits
The same service costs 3.5 times more in Minnesota than in Utah. 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· 5th of 51
$97.72
MN $107UT $30.90
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.