How much rates vary
Facilitymedian $135 · 10th to 90th $102 to $347Professionalmedian $138 · 10th to 90th $93 to $389
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $338.84 | Professional | None | $102.33 | $102.33 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $346.74 | Professional | None | $93.33 | $138.04 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Facility | None | $263.03 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $323.59 | Professional | None | $109.65 | $117.49 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $204.17 | Facility | None | $91.20 | $117.49 | $204.17 |
DeanCare Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $204.17 | Professional | None | $154.88 | $173.78 | $204.17 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $204.17 | Facility | None | $102.33 | $114.82 | $204.17 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $229.09 Typical High $616.60 | Professional | None | $91.20 | $229.09 | $616.60 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $190.55 | Facility | None | $147.91 | $147.91 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $234.42 | Professional | None | $87.10 | $107.15 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $204.17 | Facility | None | $91.20 | $117.49 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $338.84 | Professional | None | $107.15 | $204.17 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $134.90 | Professional | None | $83.18 | $109.65 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $588.84 | Professional | None | $269.15 | $295.12 | $588.84 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $457.09 | Professional | None | $95.50 | $151.36 | $457.09 |
6 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 Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $169.82 | Professional | 52 · Reduced service | $51.29 | $51.29 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $67.61 | Professional | 53 · Discontinued | $20.42 | $20.42 | $67.61 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $28.18 Typical High $32.36 | Professional | 80 · Assistant surgeon | $24.55 | $28.18 | $32.36 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $28.18 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $24.55 | $28.18 | $32.36 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $28.18 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $28.18 | $32.36 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $24.55 Typical High $28.18 | Professional | AS · PA/NP assist | $21.38 | $24.55 | $28.18 |
Where Wisconsin sits
The same service costs 3.0 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· 9th of 51
$138
AK $219FL $74.13
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.