How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 to $5
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 $1.66 Median $1.86 Typical High $2.19 | Facility | None | $1.66 | $1.86 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.86 Typical High $2.19 | Professional | None | $1.66 | $1.86 | $2.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $5.50 | Professional | None | $1.82 | $1.82 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $6.17 Typical High $9.12 | Facility | None | $5.37 | $6.17 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.09 Typical High $5.01 | Professional | None | $2.00 | $3.09 | $5.01 |
DeanCare Setting Facility Modifier None Typical Low $1.95 Median $2.51 Typical High $4.47 | Facility | None | $1.95 | $2.51 | $4.47 |
DeanCare Setting Professional Modifier None Typical Low $2.63 Median $2.69 Typical High $3.16 | Professional | None | $2.63 | $2.69 | $3.16 |
Medica Setting Facility Modifier None Typical Low $1.95 Median $2.63 Typical High $63.10 | Facility | None | $1.95 | $2.63 | $63.10 |
Medica Setting Professional Modifier None Typical Low $1.91 Median $6.76 Typical High $13.18 | Professional | None | $1.91 | $6.76 | $13.18 |
Network Health Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Network Health Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.95 | Professional | None | $1.58 | $1.58 | $1.95 |
Prevea360 Setting Facility Modifier None Typical Low $1.95 Median $2.51 Typical High $4.47 | Facility | None | $1.95 | $2.51 | $4.47 |
Quartz Setting Professional Modifier None Typical Low $2.57 Median $3.09 Typical High $5.25 | Professional | None | $2.57 | $3.09 | $5.25 |
Quartz Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Security Health Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Security Health Setting Professional Modifier None Typical Low $1.66 Median $2.88 Typical High $10.96 | Professional | None | $1.66 | $2.88 | $10.96 |
The Alliance Setting Professional Modifier None Typical Low $2.04 Median $2.34 Typical High $7.59 | Professional | None | $2.04 | $2.34 | $7.59 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $6.03 | Professional | None | $1.91 | $2.00 | $6.03 |
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 $1.10 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.42 Median $0.44 Typical High $0.51 | Professional | 80 · Assistant surgeon | $0.42 | $0.44 | $0.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.42 Median $0.44 Typical High $0.51 | Professional | 81 · Minimal assistant surgeon | $0.42 | $0.44 | $0.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.42 Median $0.44 Typical High $0.51 | Professional | 82 · Assistant surgeon, no resident | $0.42 | $0.44 | $0.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $0.37 Median $0.38 Typical High $0.44 | Professional | AS · PA/NP assist | $0.37 | $0.38 | $0.44 |
Where Wisconsin sits
The same service costs 2.2 times more in North Dakota 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· 31st of 51
$2.19
ND $3.55KY $1.62
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.