How much rates vary
Facilitymedian $380 · 10th to 90th $145 to $871Professionalmedian $245 · 10th to 90th $132 to $724
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 $144.54 Median $218.78 Typical High $218.78 | Facility | None | $144.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $1,096.48 | Professional | None | $138.04 | $218.78 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $354.81 Typical High $691.83 | Professional | None | $208.93 | $354.81 | $691.83 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $162.18 | Professional | None | $104.71 | $109.65 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $512.86 | Facility | None | $295.12 | $380.19 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $457.09 | Professional | None | $131.83 | $131.83 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $263.03 | Facility | None | $112.20 | $144.54 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $323.59 | Professional | None | $218.78 | $257.04 | $323.59 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $691.83 Typical High $977.24 | Facility | None | $154.88 | $691.83 | $977.24 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $338.84 Typical High $912.01 | Professional | None | $162.18 | $338.84 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Facility | None | $213.80 | $213.80 | $288.40 |
Network Health Setting Professional Modifier None Typical Low $181.97 Median $616.60 Typical High $616.60 | Professional | None | $181.97 | $616.60 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $263.03 | Facility | None | $112.20 | $144.54 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $489.78 | Professional | None | $147.91 | $295.12 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $208.93 | Professional | None | $131.83 | $131.83 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $707.95 | Professional | None | $177.83 | $275.42 | $707.95 |
The Alliance Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $537.03 | Professional | None | $234.42 | $363.08 | $537.03 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $489.78 | Professional | None | $134.90 | $213.80 | $489.78 |
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 $34.67 Median $40.74 Typical High $52.48 | Professional | 80 · Assistant surgeon | $34.67 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $40.74 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $34.67 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $40.74 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $35.48 Typical High $45.71 | Professional | AS · PA/NP assist | $30.20 | $35.48 | $45.71 |
Where Wisconsin sits
The same service costs 2.9 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
$251
AK $347FL $120
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.