How much rates vary
Facilitymedian $275 · 10th to 90th $141 to $575Professionalmedian $224 · 10th to 90th $132 to $589
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $891.25 | Professional | None | $141.25 | $141.25 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $512.86 | Professional | None | $131.83 | $208.93 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $398.11 | Professional | None | $204.17 | $218.78 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $281.84 | Facility | None | $125.89 | $162.18 | $281.84 |
DeanCare Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $323.59 | Professional | None | $239.88 | $251.19 | $323.59 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $794.33 | Facility | None | $125.89 | $190.55 | $794.33 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $371.54 Typical High $870.96 | Professional | None | $165.96 | $371.54 | $870.96 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $316.23 | Facility | None | $208.93 | $208.93 | $316.23 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $338.84 Typical High $363.08 | Professional | None | $120.23 | $338.84 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $281.84 | Facility | None | $125.89 | $162.18 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $407.38 | Professional | None | $128.82 | $251.19 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None | $218.78 | $218.78 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $478.63 | Professional | None | $194.98 | $229.09 | $478.63 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $537.03 | Professional | None | $144.54 | $245.47 | $537.03 |
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 $38.02 Median $40.74 Typical High $52.48 | Professional | 80 · Assistant surgeon | $38.02 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $40.74 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $38.02 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $40.74 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $35.48 Typical High $45.71 | Professional | AS · PA/NP assist | $33.88 | $35.48 | $45.71 |
Where Wisconsin sits
The same service costs 2.7 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
$224
AK $316FL $117
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.