How much rates vary
Facilitymedian $115 · 10th to 90th $95 to $363Professionalmedian $120 · 10th to 90th $95 to $309
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 $85.11 Median $107.15 Typical High $125.89 | Facility | None | $85.11 | $107.15 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | None | $85.11 | $107.15 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $371.54 | Professional | None | $114.82 | $117.49 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $158.49 | Professional | None | $102.33 | $147.91 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $549.54 | Facility | None | $323.59 | $363.08 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $181.97 | Professional | None | $120.23 | $131.83 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $229.09 | Facility | None | $112.20 | $134.90 | $229.09 |
DeanCare Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $177.83 | Professional | None | $138.04 | $158.49 | $177.83 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $794.33 | Facility | None | $112.20 | $144.54 | $794.33 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $676.08 Typical High $741.31 | Professional | None | $128.82 | $676.08 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Network Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $229.09 | Facility | None | $112.20 | $134.90 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $257.04 | Professional | None | $109.65 | $154.88 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $128.82 | Professional | None | $83.18 | $120.23 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | None | $134.90 | $134.90 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $676.08 | Professional | None | $109.65 | $194.98 | $676.08 |
The Alliance Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $338.84 | Professional | None | $97.72 | $123.03 | $338.84 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $416.87 | Professional | None | $114.82 | $128.82 | $416.87 |
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 $57.54 Median $57.54 Typical High $63.10 | Facility | 52 · Reduced service | $57.54 | $57.54 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Facility | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $23.99 | $25.12 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $25.12 Typical High $28.18 | Professional | 80 · Assistant surgeon | $21.88 | $25.12 | $28.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $25.12 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $21.88 | $25.12 | $28.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $25.12 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $25.12 | $28.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $21.88 Typical High $24.55 | Professional | AS · PA/NP assist | $19.05 | $21.88 | $24.55 |
Where Wisconsin sits
The same service costs 2.3 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· 25th of 51
$120
AK $219KY $93.33
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.