How much rates vary
Facilitymedian $65 · 10th to 90th $36 to $178Professionalmedian $93 · 10th to 90th $39 to $263
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 $36.31 Median $36.31 Typical High $60.26 | Facility | None | $36.31 | $36.31 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $316.23 | Professional | None | $36.31 | $60.26 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $117.49 Typical High $263.03 | Professional | None | $48.98 | $117.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $269.15 | Facility | None | $158.49 | $177.83 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $158.49 | Professional | None | $37.15 | $75.86 | $158.49 |
DeanCare Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $107.15 | Facility | None | $38.90 | $64.57 | $107.15 |
DeanCare Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $147.91 | Professional | None | $63.10 | $102.33 | $147.91 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $107.15 | Facility | None | $38.90 | $64.57 | $107.15 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $190.55 Typical High $512.86 | Professional | None | $63.10 | $190.55 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Facility | None | $52.48 | $52.48 | $72.44 |
Network Health Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $131.83 | Professional | None | $43.65 | $79.43 | $131.83 |
Prevea360 Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $107.15 | Facility | None | $38.90 | $64.57 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $162.18 | Professional | None | $53.70 | $97.72 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $63.10 Typical High $114.82 | Professional | None | $37.15 | $63.10 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | None | $42.66 | $42.66 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $309.03 | Professional | None | $89.13 | $162.18 | $309.03 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $208.93 | Professional | None | $46.77 | $97.72 | $208.93 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $16.60 Typical High $23.44 | Professional | 80 · Assistant surgeon | $10.00 | $16.60 | $23.44 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $16.60 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $10.00 | $16.60 | $23.44 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $16.60 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $16.60 | $23.44 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $14.45 Typical High $20.42 | Professional | AS · PA/NP assist | $8.91 | $14.45 | $20.42 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 2nd of 51
$91.20
AK $120KY $37.15
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.