How much rates vary
Facilitymedian $447 · 10th to 90th $407 to $1,202Professionalmedian $813 · 10th to 90th $407 to $2,512
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 $407.38 Median $407.38 Typical High $416.87 | Facility | None | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $2,290.87 | Professional | None | $407.38 | $416.87 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $1,122.02 Typical High $2,454.71 | Professional | None | $407.38 | $1,122.02 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,202.26 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $1,202.26 | Professional | None | $426.58 | $707.95 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $812.83 | Facility | None | $371.54 | $446.68 | $812.83 |
DeanCare Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Professional | None | $707.95 | $831.76 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $812.83 | Facility | None | $371.54 | $446.68 | $812.83 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $2,511.89 Typical High $10,000.00 | Professional | None | $602.56 | $2,511.89 | $10,000.00 |
Network Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Network Health Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $758.58 | Professional | None | $302.00 | $407.38 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $812.83 | Facility | None | $371.54 | $446.68 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,288.25 | Professional | None | $457.09 | $812.83 | $1,288.25 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $436.52 Typical High $954.99 | Professional | None | $426.58 | $436.52 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None | $489.78 | $489.78 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $2,511.89 | Professional | None | $851.14 | $1,584.89 | $2,511.89 |
The Alliance Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,659.59 | Professional | None | $602.56 | $977.24 | $1,659.59 |
United Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $1,698.24 | Professional | None | $478.63 | $954.99 | $1,698.24 |
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 $204.17 Median $204.17 Typical High $208.93 | Facility | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $208.93 Typical High $1,148.15 | Professional | 52 · Reduced service | $204.17 | $208.93 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $457.09 | Professional | 53 · Discontinued | $83.18 | $83.18 | $457.09 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $131.83 Typical High $177.83 | Professional | 80 · Assistant surgeon | $114.82 | $131.83 | $177.83 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $131.83 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $114.82 | $131.83 | $177.83 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $131.83 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $131.83 | $177.83 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $114.82 Typical High $154.88 | Professional | AS · PA/NP assist | $100.00 | $114.82 | $154.88 |
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
$813
AK $1,023FL $363
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.