How much rates vary
Facilitymedian $126 · 10th to 90th $58 to $263Professionalmedian $105 · 10th to 90th $55 to $309
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $93.33 Typical High $478.63 | Professional | None | $58.88 | $93.33 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $309.03 | Professional | None | $85.11 | $151.36 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $69.18 | Professional | None | $45.71 | $46.77 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $218.78 | Facility | None | $125.89 | $162.18 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $181.97 | Professional | None | $54.95 | $54.95 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $109.65 | Facility | None | $47.86 | $61.66 | $109.65 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $138.04 | Professional | None | $93.33 | $109.65 | $138.04 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $181.97 Typical High $363.08 | Facility | None | $46.77 | $181.97 | $363.08 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $371.54 | Professional | None | $67.61 | $138.04 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Facility | None | $89.13 | $89.13 | $125.89 |
Network Health Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $141.25 | Professional | None | $77.62 | $125.89 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $109.65 | Facility | None | $47.86 | $61.66 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $199.53 | Professional | None | $63.10 | $125.89 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | None | $54.95 | $54.95 | $87.10 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $309.03 | Professional | None | $89.13 | $128.82 | $309.03 |
The Alliance Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $204.17 | Professional | None | $97.72 | $128.82 | $204.17 |
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 $57.54 Median $89.13 Typical High $208.93 | Professional | None | $57.54 | $89.13 | $208.93 |
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 $14.79 Median $17.38 Typical High $22.39 | Professional | 80 · Assistant surgeon | $14.79 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $14.79 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $15.14 Typical High $19.50 | Professional | AS · PA/NP assist | $12.88 | $15.14 | $19.50 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$105
AK $151UT $33.11
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.