How much rates vary
Facilitymedian $35 · 10th to 90th $27 to $126Professionalmedian $38 · 10th to 90th $27 to $83
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 $26.92 Median $30.20 Typical High $35.48 | Facility | None | $26.92 | $30.20 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $35.48 | Professional | None | $26.92 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $95.50 | Professional | None | $33.11 | $36.31 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $41.69 | Professional | None | $26.30 | $38.02 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $162.18 | Facility | None | $95.50 | $109.65 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $54.95 | Professional | None | $28.84 | $38.90 | $54.95 |
DeanCare Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $74.13 | Facility | None | $32.36 | $40.74 | $74.13 |
DeanCare Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $52.48 | Professional | None | $38.90 | $44.67 | $52.48 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $1,023.29 | Facility | None | $32.36 | $44.67 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $123.03 Typical High $218.78 | Professional | None | $36.31 | $123.03 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $35.48 | Professional | None | $25.70 | $25.70 | $35.48 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $74.13 | Facility | None | $32.36 | $40.74 | $74.13 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $83.18 | Professional | None | $41.69 | $50.12 | $83.18 |
Quartz Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | None | $25.70 | $38.90 | $38.90 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $213.80 | Professional | None | $33.11 | $57.54 | $213.80 |
The Alliance Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $123.03 | Professional | None | $36.31 | $38.90 | $123.03 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $114.82 | Professional | None | $34.67 | $36.31 | $114.82 |
6 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 Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $7.24 Typical High $8.32 | Professional | 80 · Assistant surgeon | $6.31 | $7.24 | $8.32 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $7.24 Typical High $8.32 | Professional | 81 · Minimal assistant surgeon | $6.31 | $7.24 | $8.32 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $7.24 Typical High $8.32 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $7.24 | $8.32 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $6.31 Typical High $7.24 | Professional | AS · PA/NP assist | $5.50 | $6.31 | $7.24 |
Where Wisconsin sits
The same service costs 2.1 times more in North Dakota 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
$38.02
ND $54.95OH $26.30
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.