How much rates vary
Facilitymedian $30 · 10th to 90th $12 to $148Professionalmedian $16 · 10th to 90th $12 to $49
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 $11.75 Median $11.75 Typical High $18.62 | Facility | None | $11.75 | $11.75 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $41.69 | Professional | None | $11.75 | $11.75 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $48.98 | Professional | None | $11.75 | $16.60 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $51.29 | Facility | None | $38.90 | $43.65 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $31.62 | Professional | None | $12.02 | $15.14 | $31.62 |
DeanCare Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $30.20 | Facility | None | $9.12 | $16.60 | $30.20 |
DeanCare Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $30.90 | Professional | None | $26.30 | $26.92 | $30.90 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $67.61 Typical High $162.18 | Facility | None | $15.49 | $67.61 | $162.18 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $91.20 | Professional | None | $13.80 | $20.89 | $91.20 |
Network Health Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $38.90 | Facility | None | $22.39 | $22.39 | $38.90 |
Network Health Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $30.90 | Professional | None | $13.18 | $16.22 | $30.90 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $16.60 Typical High $30.20 | Facility | None | $9.12 | $16.60 | $30.20 |
Quartz Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $46.77 | Professional | None | $16.22 | $30.90 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $18.62 | Professional | None | $14.45 | $15.14 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Security Health Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $44.67 | Professional | None | $23.44 | $38.02 | $44.67 |
The Alliance Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $48.98 | Professional | None | $14.79 | $20.89 | $48.98 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $39.81 | Professional | None | $12.88 | $15.85 | $39.81 |
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 $4.17 Median $4.27 Typical High $4.90 | Professional | 80 · Assistant surgeon | $4.17 | $4.27 | $4.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.17 Median $4.27 Typical High $4.90 | Professional | 81 · Minimal assistant surgeon | $4.17 | $4.27 | $4.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.17 Median $4.27 Typical High $4.90 | Professional | 82 · Assistant surgeon, no resident | $4.17 | $4.27 | $4.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $3.72 Typical High $4.37 | Professional | AS · PA/NP assist | $3.72 | $3.72 | $4.37 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Delaware. 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
$16.60
AK $28.84DE $11.22
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.