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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $190.55 | Professional | None | $19.05 | $19.05 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $30.20 Typical High $77.62 | Professional | None | $17.78 | $30.20 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $81.28 | Facility | None | $47.86 | $53.70 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | None | $29.51 | $29.51 | $53.70 |
DeanCare Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $38.90 | Facility | None | $16.98 | $21.88 | $38.90 |
DeanCare Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $44.67 | Professional | None | $32.36 | $33.88 | $44.67 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $25.70 Typical High $1,348.96 | Facility | None | $16.98 | $25.70 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $199.53 | Professional | None | $24.55 | $56.23 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $70.79 | Facility | None | $28.84 | $28.84 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $16.22 Median $47.86 Typical High $75.86 | Professional | None | $16.22 | $47.86 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $38.90 | Facility | None | $16.98 | $21.88 | $38.90 |
Quartz Setting Professional Modifier None Typical Low $18.62 Median $35.48 Typical High $58.88 | Professional | None | $18.62 | $35.48 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | None | $29.51 | $29.51 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $104.71 | Professional | None | $26.30 | $31.62 | $104.71 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $19.95 Median $39.81 Typical High $79.43 | Professional | None | $19.95 | $39.81 | $79.43 |
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 $5.13 Median $5.50 Typical High $7.08 | Professional | 80 · Assistant surgeon | $5.13 | $5.50 | $7.08 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.50 Typical High $7.08 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.50 | $7.08 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.50 Typical High $7.08 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.50 | $7.08 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $4.79 Typical High $6.31 | Professional | AS · PA/NP assist | $4.57 | $4.79 | $6.31 |
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· 12th of 51
$33.11
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.