How much rates vary
Facilitymedian $56 · 10th to 90th $33 to $148Professionalmedian $52 · 10th to 90th $30 to $166
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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $194.98 | Professional | None | $33.11 | $33.11 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $107.15 | Professional | None | $29.51 | $43.65 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $147.91 | Facility | None | $87.10 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $177.83 | Professional | None | $54.95 | $74.13 | $177.83 |
DeanCare Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $67.61 | Facility | None | $29.51 | $38.02 | $67.61 |
DeanCare Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $70.79 | Professional | None | $56.23 | $63.10 | $70.79 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $794.33 | Facility | None | $29.51 | $40.74 | $794.33 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $91.20 Typical High $194.98 | Professional | None | $30.20 | $91.20 | $194.98 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Network Health Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $66.07 | Professional | None | $28.18 | $52.48 | $66.07 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $67.61 | Facility | None | $29.51 | $38.02 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $74.13 Typical High $109.65 | Professional | None | $38.90 | $74.13 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $169.82 | Professional | None | $66.07 | $74.13 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $112.20 | Professional | None | $39.81 | $50.12 | $112.20 |
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 $29.51 Median $47.86 Typical High $114.82 | Professional | None | $29.51 | $47.86 | $114.82 |
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 $16.60 Median $16.60 Typical High $97.72 | Professional | 52 · Reduced service | $16.60 | $16.60 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $38.90 | Professional | 53 · Discontinued | $6.61 | $6.61 | $38.90 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | 80 · Assistant surgeon | $9.12 | $10.23 | $11.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.23 | $11.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.23 | $11.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $8.91 Typical High $10.00 | Professional | AS · PA/NP assist | $7.94 | $8.91 | $10.00 |
Where Wisconsin sits
The same service costs 3.6 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· 9th of 51
$52.48
MN $69.18KY $19.05
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.