How much rates vary
Facilitymedian $120 · 10th to 90th $95 to $389Professionalmedian $132 · 10th to 90th $95 to $316
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 $83.18 Median $112.20 Typical High $134.90 | Facility | None | $83.18 | $112.20 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $134.90 | Professional | None | $83.18 | $112.20 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $389.05 | Professional | None | $123.03 | $128.82 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $169.82 | Professional | None | $107.15 | $154.88 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $588.84 | Facility | None | $346.74 | $389.05 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $194.98 | Professional | None | $120.23 | $134.90 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $257.04 | Facility | None | $120.23 | $144.54 | $257.04 |
DeanCare Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $190.55 | Professional | None | $138.04 | $154.88 | $190.55 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $1,348.96 | Facility | None | $120.23 | $147.91 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $660.69 Typical High $812.83 | Professional | None | $141.25 | $660.69 | $812.83 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
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 $120.23 Median $144.54 Typical High $257.04 | Facility | None | $120.23 | $144.54 | $257.04 |
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 $91.20 Median $134.90 Typical High $141.25 | Professional | None | $91.20 | $134.90 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | None | $131.83 | $131.83 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $112.20 Median $204.17 Typical High $724.44 | Professional | None | $112.20 | $204.17 | $724.44 |
The Alliance Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $354.81 | Professional | None | $95.50 | $123.03 | $354.81 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $426.58 | Professional | None | $123.03 | $141.25 | $426.58 |
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 $56.23 Median $64.57 Typical High $67.61 | Facility | 52 · Reduced service | $56.23 | $64.57 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $26.92 | Facility | 53 · Discontinued | $22.39 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $23.99 | $26.92 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $25.12 Typical High $30.20 | Professional | 80 · Assistant surgeon | $21.88 | $25.12 | $30.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $25.12 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $21.88 | $25.12 | $30.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $25.12 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $25.12 | $30.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $21.88 Typical High $26.30 | Professional | AS · PA/NP assist | $19.50 | $21.88 | $26.30 |
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· 22nd of 51
$132
AK $224KY $95.50
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.