How much rates vary
Facilitymedian $110 · 10th to 90th $33 to $182Professionalmedian $32 · 10th to 90th $24 to $100
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 $23.99 Median $23.99 Typical High $38.02 | Facility | None | $23.99 | $23.99 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $141.25 | Professional | None | $20.89 | $23.99 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $100.00 | Professional | None | $23.99 | $29.51 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $107.15 | Facility | None | $79.43 | $91.20 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $87.10 | Professional | None | $25.12 | $30.90 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $61.66 | Facility | None | $18.62 | $33.88 | $61.66 |
DeanCare Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None | $53.70 | $53.70 | $61.66 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $204.17 | Facility | None | $83.18 | $125.89 | $204.17 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $186.21 | Professional | None | $28.18 | $57.54 | $186.21 |
Network Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Facility | None | $44.67 | $44.67 | $64.57 |
Network Health Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $54.95 | Professional | None | $26.30 | $33.11 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $61.66 | Facility | None | $18.62 | $33.88 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $102.33 | Professional | None | $32.36 | $54.95 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $37.15 | Professional | None | $29.51 | $30.90 | $37.15 |
Security Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $83.18 | Professional | None | $39.81 | $48.98 | $83.18 |
The Alliance Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $83.18 | Professional | None | $29.51 | $46.77 | $83.18 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $72.44 | Professional | None | $26.92 | $30.90 | $72.44 |
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 $8.51 Median $8.71 Typical High $9.77 | Professional | 80 · Assistant surgeon | $8.51 | $8.71 | $9.77 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $8.71 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $8.51 | $8.71 | $9.77 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $8.71 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $8.71 | $9.77 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $7.59 Typical High $8.51 | Professional | AS · PA/NP assist | $7.59 | $7.59 | $8.51 |
Where Wisconsin sits
The same service costs 3.5 times more in Minnesota 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· 12th of 51
$34.67
MN $69.18OH $19.50
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.