How much rates vary
Facilitymedian $22 · 10th to 90th $19 to $65Professionalmedian $44 · 10th to 90th $19 to $200
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 $19.05 Median $19.05 Typical High $19.50 | Facility | None | $19.05 | $19.05 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $251.19 | Professional | None | $19.05 | $19.50 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $57.54 Typical High $177.83 | Professional | None | $18.62 | $57.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $83.18 | Facility | None | $48.98 | $54.95 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $54.95 | Professional | None | $19.50 | $32.36 | $54.95 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $38.02 | Facility | None | $17.38 | $21.88 | $38.02 |
DeanCare Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $56.23 | Professional | None | $32.36 | $38.90 | $56.23 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $331.13 | Facility | None | $17.38 | $25.12 | $331.13 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $199.53 Typical High $371.54 | Professional | None | $38.02 | $199.53 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $47.86 | Facility | None | $27.54 | $27.54 | $47.86 |
Network Health Setting Professional Modifier None Typical Low $13.80 Median $34.67 Typical High $144.54 | Professional | None | $13.80 | $34.67 | $144.54 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $38.02 | Facility | None | $17.38 | $21.88 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $77.62 | Professional | None | $21.88 | $41.69 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $44.67 | Professional | None | $19.50 | $19.95 | $44.67 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | None | $22.39 | $22.39 | $22.91 |
Security Health Setting Professional Modifier None Typical Low $48.98 Median $93.33 Typical High $165.96 | Professional | None | $48.98 | $93.33 | $165.96 |
The Alliance Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $77.62 | Professional | None | $30.20 | $46.77 | $77.62 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $24.55 Median $54.95 Typical High $102.33 | Professional | None | $24.55 | $54.95 | $102.33 |
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 $9.55 Median $9.55 Typical High $9.55 | Facility | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.89 | Facility | 53 · Discontinued | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $151.36 | Professional | 52 · Reduced service | $9.55 | $9.55 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.89 Typical High $60.26 | Professional | 53 · Discontinued | $3.80 | $3.89 | $60.26 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $6.17 Typical High $9.12 | Professional | 80 · Assistant surgeon | $5.25 | $6.17 | $9.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $6.17 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $5.25 | $6.17 | $9.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $6.17 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $6.17 | $9.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $5.37 Typical High $7.94 | Professional | AS · PA/NP assist | $4.57 | $5.37 | $7.94 |
Where Wisconsin sits
The same service costs 2.7 times more in Alaska than in Maryland. 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
$43.65
AK $50.12MD $18.62
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.