How much rates vary
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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $72.44 | Professional | None | $11.22 | $11.22 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $46.77 | Professional | None | $11.48 | $16.22 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $50.12 | Facility | None | $38.02 | $42.66 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $30.90 | Professional | None | $11.75 | $14.45 | $30.90 |
DeanCare Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $29.51 | Facility | None | $9.12 | $15.85 | $29.51 |
DeanCare Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $30.20 | Professional | None | $25.12 | $25.70 | $30.20 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $29.51 | Facility | None | $9.12 | $15.85 | $29.51 |
Medica Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $91.20 | Professional | None | $13.49 | $18.62 | $91.20 |
Network Health Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $36.31 | Facility | None | $21.88 | $21.88 | $36.31 |
Network Health Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $28.84 | Professional | None | $12.30 | $15.85 | $28.84 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $29.51 | Facility | None | $9.12 | $15.85 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $15.49 Median $29.51 Typical High $44.67 | Professional | None | $15.49 | $29.51 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $17.78 | Professional | None | $13.80 | $14.45 | $17.78 |
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 $21.88 Median $33.88 Typical High $39.81 | Professional | None | $21.88 | $33.88 | $39.81 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $38.90 | Professional | None | $13.18 | $15.49 | $38.90 |
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 $3.98 Median $4.07 Typical High $4.79 | Professional | 80 · Assistant surgeon | $3.98 | $4.07 | $4.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.98 Median $4.07 Typical High $4.79 | Professional | 81 · Minimal assistant surgeon | $3.98 | $4.07 | $4.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.98 Median $4.07 Typical High $4.79 | Professional | 82 · Assistant surgeon, no resident | $3.98 | $4.07 | $4.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.55 Median $3.55 Typical High $4.27 | Professional | AS · PA/NP assist | $3.55 | $3.55 | $4.27 |
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· 19th of 51
$15.49
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.