How much rates vary
Facilitymedian $282 · 10th to 90th $257 to $759Professionalmedian $501 · 10th to 90th $257 to $1,549
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 $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $1,513.56 | Professional | None | $257.04 | $263.03 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $691.83 Typical High $1,513.56 | Professional | None | $257.04 | $691.83 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,122.02 | Facility | None | $660.69 | $758.58 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $741.31 | Professional | None | $269.15 | $446.68 | $741.31 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $501.19 | Facility | None | $234.42 | $281.84 | $501.19 |
DeanCare Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $691.83 | Professional | None | $446.68 | $512.86 | $691.83 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $501.19 | Facility | None | $234.42 | $281.84 | $501.19 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $1,548.82 Typical High $1,584.89 | Professional | None | $380.19 | $1,548.82 | $1,584.89 |
Network Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Network Health Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $478.63 | Professional | None | $186.21 | $257.04 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $501.19 | Facility | None | $234.42 | $281.84 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $794.33 | Professional | None | $281.84 | $501.19 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $602.56 | Professional | None | $269.15 | $275.42 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | None | $309.03 | $309.03 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,584.89 | Professional | None | $537.03 | $1,000.00 | $1,584.89 |
The Alliance Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $891.25 | Professional | None | $575.44 | $575.44 | $891.25 |
United Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $1,071.52 | Professional | None | $302.00 | $602.56 | $1,071.52 |
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 $128.82 Median $128.82 Typical High $131.83 | Facility | 52 · Reduced service | $128.82 | $128.82 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $52.48 | Facility | 53 · Discontinued | $51.29 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $131.83 Typical High $758.58 | Professional | 52 · Reduced service | $128.82 | $131.83 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $302.00 | Professional | 53 · Discontinued | $51.29 | $52.48 | $302.00 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | 80 · Assistant surgeon | $70.79 | $83.18 | $109.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $70.79 | $83.18 | $109.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $83.18 | $109.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | AS · PA/NP assist | $61.66 | $72.44 | $95.50 |
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
$501
AK $631FL $229
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.