How much rates vary
Facilitymedian $44 · 10th to 90th $11 to $155Professionalmedian $15 · 10th to 90th $11 to $45
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 $11.48 Median $11.48 Typical High $18.20 | Facility | None | $11.48 | $11.48 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $56.23 | Professional | None | $10.72 | $11.48 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $43.65 | Professional | None | $11.22 | $13.80 | $43.65 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
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 $14.79 Typical High $30.90 | Professional | None | $12.02 | $14.79 | $30.90 |
DeanCare Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $29.51 | Facility | None | $9.12 | $16.22 | $29.51 |
DeanCare Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | None | $25.70 | $26.30 | $28.84 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $81.28 Typical High $177.83 | Facility | None | $16.98 | $81.28 | $177.83 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $16.60 Typical High $89.13 | Professional | None | $12.30 | $16.60 | $89.13 |
Network Health Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Facility | None | $21.38 | $21.38 | $25.70 |
Network Health Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $22.39 | Professional | None | $12.59 | $15.85 | $22.39 |
Prevea360 Setting Facility Modifier None Typical Low $9.12 Median $16.22 Typical High $29.51 | Facility | None | $9.12 | $16.22 | $29.51 |
Quartz Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $45.71 | Professional | None | $15.85 | $28.84 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $17.78 | Professional | None | $14.13 | $14.79 | $17.78 |
Security Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Security Health Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $39.81 | Professional | None | $15.49 | $33.88 | $39.81 |
The Alliance Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $33.11 | Professional | None | $14.45 | $20.42 | $33.11 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $34.67 | Professional | None | $12.30 | $14.13 | $34.67 |
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 $4.07 Median $4.17 Typical High $4.68 | Professional | 80 · Assistant surgeon | $4.07 | $4.17 | $4.68 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.07 Median $4.17 Typical High $4.68 | Professional | 81 · Minimal assistant surgeon | $4.07 | $4.17 | $4.68 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.07 Median $4.17 Typical High $4.68 | Professional | 82 · Assistant surgeon, no resident | $4.07 | $4.17 | $4.68 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | AS · PA/NP assist | $3.63 | $3.63 | $4.07 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 16th of 51
$15.14
AK $28.18VA $8.91
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.