How much rates vary
Facilitymedian $219 · 10th to 90th $81 to $347Professionalmedian $105 · 10th to 90th $76 to $288
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 $81.28 Median $81.28 Typical High $112.20 | Facility | None | $81.28 | $81.28 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $346.74 | Professional | None | $75.86 | $81.28 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $275.42 | Professional | None | $69.18 | $97.72 | $275.42 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $363.08 | Facility | None | $275.42 | $309.03 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $263.03 | Professional | None | $85.11 | $104.71 | $263.03 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $114.82 Typical High $208.93 | Facility | None | $63.10 | $114.82 | $208.93 |
DeanCare Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | None | $181.97 | $181.97 | $208.93 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $363.08 | Facility | None | $114.82 | $251.19 | $363.08 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $630.96 | Professional | None | $75.86 | $131.83 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Network Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $141.25 | Professional | None | $91.20 | $91.20 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $114.82 Typical High $208.93 | Facility | None | $63.10 | $114.82 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $309.03 | Professional | None | $109.65 | $186.21 | $309.03 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | None | $100.00 | $104.71 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $281.84 | Professional | None | $97.72 | $131.83 | $281.84 |
The Alliance Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $316.23 | Professional | None | $100.00 | $162.18 | $316.23 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $199.53 | Professional | None | $74.13 | $91.20 | $199.53 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $173.78 | Professional | 52 · Reduced service | $40.74 | $40.74 | $173.78 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 80 · Assistant surgeon | $28.84 | $29.51 | $33.11 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $28.84 | $29.51 | $33.11 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $29.51 | $33.11 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $25.70 Typical High $28.84 | Professional | AS · PA/NP assist | $25.70 | $25.70 | $28.84 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 14th of 51
$107
AK $200FL $60.26
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.