How much rates vary
Facilitymedian $339 · 10th to 90th $178 to $676Professionalmedian $324 · 10th to 90th $170 to $1,122
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $2,691.53 | Professional | None | $181.97 | $281.84 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $891.25 | Professional | None | $257.04 | $467.74 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $676.08 | Facility | None | $389.05 | $501.19 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $588.84 | Professional | None | $169.82 | $169.82 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $338.84 | Facility | None | $147.91 | $186.21 | $338.84 |
DeanCare Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $446.68 | Professional | None | $281.84 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $851.14 | Facility | None | $147.91 | $234.42 | $851.14 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $630.96 Typical High $1,122.02 | Professional | None | $204.17 | $630.96 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Facility | None | $275.42 | $275.42 | $371.54 |
Network Health Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $416.87 | Professional | None | $234.42 | $363.08 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $338.84 | Facility | None | $147.91 | $186.21 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $660.69 | Professional | None | $194.98 | $389.05 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | None | $169.82 | $169.82 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $912.01 | Professional | None | $234.42 | $354.81 | $912.01 |
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 $173.78 Median $275.42 Typical High $630.96 | Professional | None | $173.78 | $275.42 | $630.96 |
8 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 $91.20 Median $141.25 Typical High $1,348.96 | Professional | 52 · Reduced service | $91.20 | $141.25 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $56.23 Typical High $537.03 | Professional | 53 · Discontinued | $36.31 | $56.23 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $42.66 Typical High $407.38 | Professional | 55 · Aftercare only | $26.92 | $42.66 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.18 Typical High $269.15 | Professional | 56 · Pre-op care only | $18.20 | $28.18 | $269.15 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | 80 · Assistant surgeon | $45.71 | $53.70 | $70.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $45.71 | $53.70 | $70.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $53.70 | $70.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $46.77 Typical High $61.66 | Professional | AS · PA/NP assist | $39.81 | $46.77 | $61.66 |
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· 7th of 51
$324
AK $447FL $155
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.