How much rates vary
Facilitymedian $52 · 10th to 90th $44 to $148Professionalmedian $59 · 10th to 90th $44 to $170
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 $39.81 Median $48.98 Typical High $57.54 | Facility | None | $39.81 | $48.98 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $57.54 | Professional | None | $39.81 | $48.98 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $181.97 | Professional | None | $57.54 | $60.26 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Facility | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $123.03 | Professional | None | $61.66 | $97.72 | $123.03 |
DeanCare Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $114.82 | Facility | None | $51.29 | $61.66 | $114.82 |
DeanCare Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $81.28 | Professional | None | $61.66 | $72.44 | $81.28 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $114.82 | Facility | None | $51.29 | $61.66 | $114.82 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $346.74 Typical High $371.54 | Professional | None | $162.18 | $346.74 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Network Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | None | $41.69 | $41.69 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $114.82 | Facility | None | $51.29 | $61.66 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $117.49 | Professional | None | $50.12 | $70.79 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $120.23 | Professional | None | $46.77 | $61.66 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None | $69.18 | $69.18 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $338.84 | Professional | None | $83.18 | $151.36 | $338.84 |
The Alliance Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $181.97 | Professional | None | $44.67 | $56.23 | $181.97 |
United Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $245.47 | Professional | None | $58.88 | $109.65 | $245.47 |
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 $26.30 Median $28.84 Typical High $28.84 | Facility | 52 · Reduced service | $26.30 | $28.84 | $28.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $11.75 | Facility | 53 · Discontinued | $10.47 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $26.30 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $11.75 | Professional | 53 · Discontinued | $10.47 | $11.48 | $11.75 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $11.48 Typical High $12.88 | Professional | 80 · Assistant surgeon | $10.00 | $11.48 | $12.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $11.48 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $10.00 | $11.48 | $12.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $11.48 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $11.48 | $12.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $10.00 Typical High $11.48 | Professional | AS · PA/NP assist | $8.71 | $10.00 | $11.48 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 24th of 51
$58.88
AK $110AZ $42.66
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.