How much rates vary
Facilitymedian $11 · 10th to 90th $5 to $33Professionalmedian $7 · 10th to 90th $4 to $25
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 $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $64.57 | Professional | None | $4.90 | $4.90 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.08 Typical High $21.88 | Professional | None | $4.47 | $7.08 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $18.62 Typical High $21.38 | Facility | None | $16.22 | $18.62 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $12.02 | Professional | None | $5.13 | $6.31 | $12.02 |
DeanCare Setting Facility Modifier None Typical Low $3.47 Median $6.92 Typical High $13.49 | Facility | None | $3.47 | $6.92 | $13.49 |
DeanCare Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $15.49 | Professional | None | $11.22 | $11.48 | $15.49 |
Medica Setting Facility Modifier None Typical Low $5.75 Median $13.49 Typical High $162.18 | Facility | None | $5.75 | $13.49 | $162.18 |
Medica Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $57.54 | Professional | None | $5.75 | $10.72 | $57.54 |
Network Health Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $22.39 | Facility | None | $8.51 | $8.51 | $22.39 |
Network Health Setting Professional Modifier None Typical Low $5.50 Median $6.17 Typical High $16.60 | Professional | None | $5.50 | $6.17 | $16.60 |
Prevea360 Setting Facility Modifier None Typical Low $3.47 Median $6.92 Typical High $13.49 | Facility | None | $3.47 | $6.92 | $13.49 |
Quartz Setting Professional Modifier None Typical Low $6.61 Median $12.59 Typical High $23.99 | Professional | None | $6.61 | $12.59 | $23.99 |
Quartz Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $7.76 | Professional | None | $5.75 | $6.31 | $7.76 |
Security Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Security Health Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $29.51 | Professional | None | $10.47 | $15.49 | $29.51 |
The Alliance Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $22.39 | Professional | None | $5.89 | $8.32 | $22.39 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $22.39 | Professional | None | $5.13 | $6.92 | $22.39 |
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 $1.78 Median $1.82 Typical High $2.51 | Professional | 80 · Assistant surgeon | $1.78 | $1.82 | $2.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.78 Median $1.82 Typical High $2.51 | Professional | 81 · Minimal assistant surgeon | $1.78 | $1.82 | $2.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.78 Median $1.82 Typical High $2.51 | Professional | 82 · Assistant surgeon, no resident | $1.78 | $1.82 | $2.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $1.55 Median $1.62 Typical High $2.19 | Professional | AS · PA/NP assist | $1.55 | $1.62 | $2.19 |
Where Wisconsin sits
The same service costs 2.6 times more in North Dakota 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· 20th of 51
$7.08
ND $12.02MO $4.68
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.