How much rates vary
Facilitymedian $98 · 10th to 90th $26 to $155Professionalmedian $30 · 10th to 90th $22 to $93
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 $22.39 Median $22.39 Typical High $36.31 | Facility | None | $22.39 | $22.39 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $100.00 | Professional | None | $18.62 | $22.39 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $93.33 | Professional | None | $21.88 | $30.90 | $93.33 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $100.00 | Facility | None | $75.86 | $85.11 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $81.28 | Professional | None | $23.44 | $28.84 | $81.28 |
DeanCare Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $58.88 | Facility | None | $17.38 | $31.62 | $58.88 |
DeanCare Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | None | $51.29 | $51.29 | $57.54 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $123.03 Typical High $165.96 | Facility | None | $60.26 | $123.03 | $165.96 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $169.82 | Professional | None | $26.30 | $36.31 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $60.26 | Facility | None | $40.74 | $40.74 | $60.26 |
Network Health Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $51.29 | Professional | None | $25.12 | $30.90 | $51.29 |
Prevea360 Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $58.88 | Facility | None | $17.38 | $31.62 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $57.54 Typical High $97.72 | Professional | None | $30.90 | $57.54 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $34.67 | Professional | None | $27.54 | $28.84 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $75.86 | Professional | None | $37.15 | $50.12 | $75.86 |
The Alliance Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $77.62 | Professional | None | $28.18 | $44.67 | $77.62 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $66.07 | Professional | None | $24.55 | $29.51 | $66.07 |
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 $8.13 Median $8.32 Typical High $9.12 | Professional | 80 · Assistant surgeon | $8.13 | $8.32 | $9.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $8.32 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $8.13 | $8.32 | $9.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $8.32 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $8.32 | $9.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $7.24 Typical High $8.13 | Professional | AS · PA/NP assist | $7.08 | $7.24 | $8.13 |
Where Wisconsin sits
The same service costs 3.0 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· 15th of 51
$30.90
MN $53.70OH $17.78
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.