How much rates vary
Facilitymedian $40 · 10th to 90th $15 to $110Professionalmedian $22 · 10th to 90th $15 to $69
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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $93.33 | Professional | None | $15.49 | $15.49 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $64.57 | Professional | None | $15.85 | $22.39 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $69.18 | Facility | None | $52.48 | $58.88 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $42.66 | Professional | None | $16.22 | $19.95 | $42.66 |
DeanCare Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $40.74 | Facility | None | $12.30 | $21.88 | $40.74 |
DeanCare Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $41.69 | Professional | None | $34.67 | $35.48 | $41.69 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $107.15 Typical High $138.04 | Facility | None | $20.42 | $107.15 | $138.04 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $31.62 Typical High $144.54 | Professional | None | $18.62 | $31.62 | $144.54 |
Network Health Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $66.07 | Facility | None | $30.20 | $30.20 | $66.07 |
Network Health Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $51.29 | Professional | None | $17.38 | $21.88 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $12.30 Median $21.88 Typical High $40.74 | Facility | None | $12.30 | $21.88 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $60.26 | Professional | None | $20.89 | $35.48 | $60.26 |
Quartz Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $24.55 | Professional | None | $19.05 | $19.95 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $53.70 | Professional | None | $26.92 | $41.69 | $53.70 |
The Alliance Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $79.43 | Professional | None | $19.50 | $26.92 | $79.43 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $53.70 | Professional | None | $18.20 | $22.39 | $53.70 |
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 $5.62 Median $5.75 Typical High $6.61 | Professional | 80 · Assistant surgeon | $5.62 | $5.75 | $6.61 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $5.75 Typical High $6.61 | Professional | 81 · Minimal assistant surgeon | $5.62 | $5.75 | $6.61 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $5.75 Typical High $6.61 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $5.75 | $6.61 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $5.01 Typical High $5.75 | Professional | AS · PA/NP assist | $4.90 | $5.01 | $5.75 |
Where Wisconsin sits
The same service costs 3.0 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· 19th of 51
$21.88
AK $38.02DE $12.88
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.