How much rates vary
Facilitymedian $148 · 10th to 90th $138 to $398Professionalmedian $263 · 10th to 90th $138 to $832
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $436.52 | Professional | None | $138.04 | $138.04 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $371.54 Typical High $812.83 | Professional | None | $131.83 | $371.54 | $812.83 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $177.83 | Professional | None | $162.18 | $173.78 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $602.56 | Facility | None | $354.81 | $398.11 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $398.11 | Professional | None | $141.25 | $234.42 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
DeanCare Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $363.08 | Professional | None | $234.42 | $275.42 | $363.08 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $831.76 Typical High $1,258.93 | Professional | None | $199.53 | $831.76 | $1,258.93 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $251.19 | Professional | None | $100.00 | $134.90 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $416.87 | Professional | None | $147.91 | $257.04 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $316.23 | Professional | None | $141.25 | $144.54 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | None | $162.18 | $162.18 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $831.76 | Professional | None | $281.84 | $524.81 | $831.76 |
The Alliance Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $549.54 | Professional | None | $213.80 | $363.08 | $549.54 |
United Setting Professional Modifier None Typical Low $154.88 Median $309.03 Typical High $562.34 | Professional | None | $154.88 | $309.03 | $562.34 |
8 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 Facility Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $69.18 | Facility | 52 · Reduced service | $67.61 | $67.61 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $69.18 Typical High $416.87 | Professional | 52 · Reduced service | $67.61 | $69.18 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $169.82 | Professional | 53 · Discontinued | $27.54 | $27.54 | $169.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $43.65 Typical High $58.88 | Professional | 80 · Assistant surgeon | $38.02 | $43.65 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $43.65 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $38.02 | $43.65 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $43.65 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $43.65 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $38.90 Typical High $51.29 | Professional | AS · PA/NP assist | $33.11 | $38.90 | $51.29 |
Where Wisconsin sits
The same service costs 2.8 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· 3rd of 51
$263
AK $324FL $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.