How much rates vary
Facilitymedian $166 · 10th to 90th $76 to $288Professionalmedian $129 · 10th to 90th $72 to $389
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $389.05 | Professional | None | $77.62 | $120.23 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $389.05 | Professional | None | $112.20 | $199.53 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $91.20 | Professional | None | $58.88 | $61.66 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $213.80 Typical High $288.40 | Facility | None | $165.96 | $213.80 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $239.88 | Professional | None | $72.44 | $72.44 | $239.88 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $147.91 | Facility | None | $63.10 | $81.28 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $186.21 | Professional | None | $120.23 | $141.25 | $186.21 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $173.78 Typical High $436.52 | Facility | None | $75.86 | $173.78 | $436.52 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $169.82 Typical High $489.78 | Professional | None | $83.18 | $169.82 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $151.36 | Facility | None | $117.49 | $117.49 | $151.36 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $173.78 | Professional | None | $100.00 | $147.91 | $173.78 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $147.91 | Facility | None | $63.10 | $81.28 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $275.42 | Professional | None | $79.43 | $158.49 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | None | $72.44 | $72.44 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $154.88 Typical High $371.54 | Professional | None | $61.66 | $154.88 | $371.54 |
The Alliance Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $245.47 | Professional | None | $125.89 | $165.96 | $245.47 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $263.03 | Professional | None | $75.86 | $120.23 | $263.03 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | 80 · Assistant surgeon | $19.50 | $22.91 | $29.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $19.50 | $22.91 | $29.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $22.91 | $29.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $19.95 Typical High $25.70 | Professional | AS · PA/NP assist | $16.98 | $19.95 | $25.70 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 8th of 51
$132
AK $195FL $64.57
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.