How much rates vary
Facilitymedian $19 · 10th to 90th $13 to $49Professionalmedian $19 · 10th to 90th $13 to $59
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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $89.13 | Professional | None | $12.59 | $12.59 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $56.23 | Professional | None | $13.80 | $18.62 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $57.54 | Facility | None | $43.65 | $48.98 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $37.15 | Professional | None | $13.49 | $16.22 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $34.67 | Facility | None | $10.72 | $17.78 | $34.67 |
DeanCare Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $38.02 | Professional | None | $28.84 | $29.51 | $38.02 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $34.67 | Facility | None | $10.72 | $17.78 | $34.67 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $109.65 | Professional | None | $15.85 | $22.91 | $109.65 |
Network Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $47.86 | Facility | None | $26.30 | $26.30 | $47.86 |
Network Health Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $36.31 | Professional | None | $14.13 | $17.78 | $36.31 |
Prevea360 Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $34.67 | Facility | None | $10.72 | $17.78 | $34.67 |
Quartz Setting Professional Modifier None Typical Low $17.38 Median $33.11 Typical High $48.98 | Professional | None | $17.38 | $33.11 | $48.98 |
Quartz Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $20.42 | Professional | None | $15.49 | $16.22 | $20.42 |
Security Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Security Health Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $47.86 | Professional | None | $28.84 | $38.02 | $47.86 |
The Alliance Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $61.66 | Professional | None | $15.85 | $22.39 | $61.66 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $48.98 | Professional | None | $15.14 | $18.62 | $48.98 |
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 $4.57 Median $4.68 Typical High $6.03 | Professional | 80 · Assistant surgeon | $4.57 | $4.68 | $6.03 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $4.68 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $4.57 | $4.68 | $6.03 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $4.68 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $4.68 | $6.03 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.98 Median $4.07 Typical High $5.37 | Professional | AS · PA/NP assist | $3.98 | $4.07 | $5.37 |
Where Wisconsin sits
The same service costs 2.7 times more in Alaska than in Ohio. 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· 18th of 51
$18.62
AK $31.62OH $11.75
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.