How much rates vary
Facilitymedian $135 · 10th to 90th $102 to $398Professionalmedian $132 · 10th to 90th $102 to $339
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 $93.33 Median $114.82 Typical High $138.04 | Facility | None | $93.33 | $114.82 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | None | $93.33 | $114.82 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $426.58 | Professional | None | $125.89 | $134.90 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $588.84 | Facility | None | $346.74 | $398.11 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $288.40 | Professional | None | $147.91 | $229.09 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $190.55 | Professional | None | $147.91 | $169.82 | $190.55 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $380.19 | Facility | None | $134.90 | $251.19 | $380.19 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $794.33 | Professional | None | $102.33 | $138.04 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Network Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $269.15 | Facility | None | $123.03 | $147.91 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $263.03 | Professional | None | $117.49 | $165.96 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $269.15 | Professional | None | $102.33 | $141.25 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | None | $154.88 | $154.88 | $158.49 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $776.25 | Professional | None | $181.97 | $338.84 | $776.25 |
The Alliance Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $407.38 | Professional | None | $102.33 | $128.82 | $407.38 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $257.04 | Professional | None | $102.33 | $102.33 | $257.04 |
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 $63.10 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $25.12 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $64.57 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $26.30 | $27.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $26.92 Typical High $30.20 | Professional | 80 · Assistant surgeon | $23.44 | $26.92 | $30.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $26.92 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $23.44 | $26.92 | $30.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $26.92 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $26.92 | $30.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $23.44 Typical High $26.92 | Professional | AS · PA/NP assist | $20.89 | $23.44 | $26.92 |
Where Wisconsin sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 23rd of 51
$132
AK $245OH $102
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.