How much rates vary
Facilitymedian $166 · 10th to 90th $72 to $302Professionalmedian $120 · 10th to 90th $65 to $363
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $562.34 | Professional | None | $69.18 | $107.15 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $338.84 | Professional | None | $97.72 | $173.78 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $81.28 | Professional | None | $52.48 | $54.95 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $257.04 | Facility | None | $147.91 | $190.55 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $213.80 | Professional | None | $64.57 | $64.57 | $213.80 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | None | $56.23 | $72.44 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $162.18 | Professional | None | $107.15 | $125.89 | $162.18 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $245.47 Typical High $389.05 | Facility | None | $67.61 | $245.47 | $389.05 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $158.49 Typical High $446.68 | Professional | None | $77.62 | $158.49 | $446.68 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $162.18 | Professional | None | $89.13 | $141.25 | $162.18 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | None | $56.23 | $72.44 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $234.42 | Professional | None | $74.13 | $147.91 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $102.33 | Professional | None | $64.57 | $64.57 | $102.33 |
Security Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $346.74 | Professional | None | $87.10 | $134.90 | $346.74 |
The Alliance Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $275.42 | Professional | None | $117.49 | $181.97 | $275.42 |
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 $66.07 Median $104.71 Typical High $239.88 | Professional | None | $66.07 | $104.71 | $239.88 |
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 $17.38 Median $20.42 Typical High $25.70 | Professional | 80 · Assistant surgeon | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $17.78 Typical High $22.39 | Professional | AS · PA/NP assist | $15.14 | $17.78 | $22.39 |
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· 9th of 51
$120
AK $174FL $58.88
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.