How much rates vary
Facilitymedian $25 · 10th to 90th $10 to $49Professionalmedian $14 · 10th to 90th $9 to $46
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $87.10 | Professional | None | $9.55 | $9.55 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $43.65 | Professional | None | $9.33 | $13.80 | $43.65 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $25.70 | Professional | None | $9.77 | $12.30 | $25.70 |
DeanCare Setting Facility Modifier None Typical Low $7.41 Median $13.49 Typical High $25.12 | Facility | None | $7.41 | $13.49 | $25.12 |
DeanCare Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $30.20 | Professional | None | $21.38 | $21.88 | $30.20 |
Medica Setting Facility Modifier None Typical Low $12.88 Median $47.86 Typical High $85.11 | Facility | None | $12.88 | $47.86 | $85.11 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $83.18 | Professional | None | $11.22 | $19.05 | $83.18 |
Network Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $39.81 | Facility | None | $17.78 | $17.78 | $39.81 |
Network Health Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $30.20 | Professional | None | $10.72 | $13.18 | $30.20 |
Prevea360 Setting Facility Modifier None Typical Low $7.41 Median $13.49 Typical High $25.12 | Facility | None | $7.41 | $13.49 | $25.12 |
Quartz Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $38.02 | Professional | None | $13.18 | $25.12 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $15.14 | Professional | None | $11.75 | $12.30 | $15.14 |
Security Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Security Health Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $44.67 | Professional | None | $22.39 | $32.36 | $44.67 |
The Alliance Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $47.86 | Professional | None | $12.02 | $16.98 | $47.86 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $40.74 | Professional | None | $10.72 | $14.13 | $40.74 |
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 $3.39 Median $3.47 Typical High $4.79 | Professional | 80 · Assistant surgeon | $3.39 | $3.47 | $4.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.39 Median $3.47 Typical High $4.79 | Professional | 81 · Minimal assistant surgeon | $3.39 | $3.47 | $4.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.39 Median $3.47 Typical High $4.79 | Professional | 82 · Assistant surgeon, no resident | $3.39 | $3.47 | $4.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $2.95 Median $3.02 Typical High $4.17 | Professional | AS · PA/NP assist | $2.95 | $3.02 | $4.17 |
Where Wisconsin sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 21st of 51
$14.13
AK $22.91MO $9.55
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.