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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $588.84 | Professional | None | $87.10 | $87.10 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $309.03 | Professional | None | $81.28 | $128.82 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $251.19 Typical High $371.54 | Facility | None | $218.78 | $251.19 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $245.47 | Professional | None | $125.89 | $134.90 | $245.47 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $173.78 | Facility | None | $77.62 | $100.00 | $173.78 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $199.53 | Professional | None | $147.91 | $154.88 | $199.53 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $398.11 | Facility | None | $77.62 | $117.49 | $398.11 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $537.03 | Professional | None | $104.71 | $229.09 | $537.03 |
Network Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $199.53 | Facility | None | $128.82 | $128.82 | $199.53 |
Network Health Setting Professional Modifier None Typical Low $74.13 Median $208.93 Typical High $229.09 | Professional | None | $74.13 | $208.93 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $173.78 | Facility | None | $77.62 | $100.00 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $251.19 | Professional | None | $79.43 | $154.88 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | None | $134.90 | $134.90 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $295.12 | Professional | None | $120.23 | $141.25 | $295.12 |
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 $89.13 Median $151.36 Typical High $331.13 | Professional | None | $89.13 | $151.36 | $331.13 |
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 $23.44 Median $24.55 Typical High $32.36 | Professional | 80 · Assistant surgeon | $23.44 | $24.55 | $32.36 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $24.55 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $23.44 | $24.55 | $32.36 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $24.55 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $24.55 | $32.36 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $21.88 Typical High $28.18 | Professional | AS · PA/NP assist | $20.42 | $21.88 | $28.18 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska 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· 8th of 51
$141
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.