How much rates vary
Facilitymedian $37 · 10th to 90th $21 to $129Professionalmedian $44 · 10th to 90th $21 to $93
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 $18.20 Median $28.18 Typical High $43.65 | Facility | None | $18.20 | $28.18 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $33.11 Typical High $43.65 | Professional | None | $18.20 | $33.11 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $112.20 | Professional | None | $30.20 | $45.71 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $53.70 | Professional | None | $33.88 | $48.98 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $190.55 | Facility | None | $114.82 | $128.82 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $64.57 | Professional | None | $28.18 | $47.86 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $87.10 | Facility | None | $26.30 | $46.77 | $87.10 |
DeanCare Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $58.88 | Professional | None | $30.20 | $47.86 | $58.88 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $331.13 | Facility | None | $26.30 | $46.77 | $331.13 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $147.91 Typical High $275.42 | Professional | None | $46.77 | $147.91 | $275.42 |
Network Health Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Network Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None | $31.62 | $31.62 | $38.90 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $87.10 | Facility | None | $26.30 | $46.77 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $23.44 Median $48.98 Typical High $91.20 | Professional | None | $23.44 | $48.98 | $91.20 |
Quartz Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | None | $30.20 | $47.86 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | None | $29.51 | $29.51 | $53.70 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $61.66 Typical High $223.87 | Professional | None | $25.70 | $61.66 | $223.87 |
The Alliance Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $112.20 | Professional | None | $20.89 | $42.66 | $112.20 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $125.89 | Professional | None | $38.90 | $46.77 | $125.89 |
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 $12.30 Median $14.13 Typical High $21.88 | Facility | 52 · Reduced service | $12.30 | $14.13 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.90 Median $5.75 Typical High $8.71 | Facility | 53 · Discontinued | $4.90 | $5.75 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $12.30 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $4.90 | $7.76 | $8.71 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.90 Median $7.59 Typical High $9.33 | Professional | 80 · Assistant surgeon | $4.90 | $7.59 | $9.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $7.59 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $4.90 | $7.59 | $9.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $7.59 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $7.59 | $9.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.27 Median $6.61 Typical High $8.32 | Professional | AS · PA/NP assist | $4.27 | $6.61 | $8.32 |
Where Wisconsin sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 15th of 51
$43.65
HI $63.10DC $26.92
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.