How much rates vary
Facilitymedian $25 · 10th to 90th $18 to $68Professionalmedian $23 · 10th to 90th $18 to $60
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 $17.78 Median $17.78 Typical High $18.20 | Facility | None | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | None | $17.78 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $61.66 | Professional | None | $21.88 | $23.44 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | None | $27.54 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $67.61 Typical High $79.43 | Facility | None | $58.88 | $67.61 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $23.44 | Professional | None | $18.20 | $22.91 | $23.44 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $45.71 | Facility | None | $14.45 | $25.12 | $45.71 |
DeanCare Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $57.54 | Professional | None | $31.62 | $41.69 | $57.54 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $95.50 | Facility | None | $14.45 | $25.12 | $95.50 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $141.25 Typical High $141.25 | Professional | None | $23.99 | $141.25 | $141.25 |
Network Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Network Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | None | $16.98 | $16.98 | $21.38 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $45.71 | Facility | None | $14.45 | $25.12 | $45.71 |
Quartz Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $46.77 | Professional | None | $21.88 | $29.51 | $46.77 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $35.48 | Professional | None | $22.91 | $23.44 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Security Health Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $63.10 | Professional | None | $22.91 | $38.90 | $63.10 |
The Alliance Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $61.66 | Professional | None | $19.95 | $24.55 | $61.66 |
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 $5.01 Median $6.61 Typical High $9.12 | Professional | 80 · Assistant surgeon | $5.01 | $6.61 | $9.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $6.61 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $5.01 | $6.61 | $9.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $6.61 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $6.61 | $9.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $5.75 Typical High $7.94 | Professional | AS · PA/NP assist | $4.37 | $5.75 | $7.94 |
Where Wisconsin sits
The same service costs 3.3 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· 17th of 51
$23.44
AK $46.77DE $14.13
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.