How much rates vary
Facilitymedian $178 · 10th to 90th $162 to $479Professionalmedian $309 · 10th to 90th $162 to $977
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 $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $741.31 | Professional | None | $162.18 | $165.96 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $426.58 Typical High $933.25 | Professional | None | $154.88 | $426.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $724.44 | Facility | None | $426.58 | $478.63 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $467.74 | Professional | None | $169.82 | $281.84 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $323.59 | Facility | None | $147.91 | $177.83 | $323.59 |
DeanCare Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $436.52 | Professional | None | $281.84 | $331.13 | $436.52 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $323.59 | Facility | None | $147.91 | $177.83 | $323.59 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $977.24 Typical High $977.24 | Professional | None | $234.42 | $977.24 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $302.00 | Professional | None | $120.23 | $162.18 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $323.59 | Facility | None | $147.91 | $177.83 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $501.19 | Professional | None | $177.83 | $309.03 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $380.19 | Professional | None | $169.82 | $173.78 | $380.19 |
Security Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None | $190.55 | $190.55 | $194.98 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $602.56 Typical High $977.24 | Professional | None | $331.13 | $602.56 | $977.24 |
The Alliance Setting Professional Modifier None Typical Low $269.15 Median $645.65 Typical High $724.44 | Professional | None | $269.15 | $645.65 | $724.44 |
United Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $660.69 | Professional | None | $186.21 | $363.08 | $660.69 |
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 $81.28 Median $81.28 Typical High $83.18 | Facility | 52 · Reduced service | $81.28 | $81.28 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $83.18 Typical High $489.78 | Professional | 52 · Reduced service | $81.28 | $83.18 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $194.98 | Professional | 53 · Discontinued | $33.11 | $33.11 | $194.98 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $52.48 Typical High $70.79 | Professional | 80 · Assistant surgeon | $45.71 | $52.48 | $70.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $52.48 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $45.71 | $52.48 | $70.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $52.48 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $52.48 | $70.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $45.71 Typical High $61.66 | Professional | AS · PA/NP assist | $39.81 | $45.71 | $61.66 |
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· 4th of 51
$309
AK $398FL $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.