How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $339Professionalmedian $107 · 10th to 90th $78 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 $83.18 Median $83.18 Typical High $114.82 | Facility | None | $83.18 | $83.18 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $346.74 | Professional | None | $81.28 | $83.18 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $281.84 | Professional | None | $69.18 | $100.00 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $371.54 | Facility | None | $281.84 | $316.23 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $269.15 | Professional | None | $87.10 | $107.15 | $269.15 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $218.78 | Facility | None | $63.10 | $117.49 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $194.98 | Professional | None | $165.96 | $186.21 | $194.98 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $229.09 Typical High $346.74 | Facility | None | $117.49 | $229.09 | $346.74 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $630.96 | Professional | None | $75.86 | $117.49 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Network Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | None | $93.33 | $93.33 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $218.78 | Facility | None | $63.10 | $117.49 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $354.81 | Professional | None | $112.20 | $190.55 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $128.82 | Professional | None | $102.33 | $107.15 | $128.82 |
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 $112.20 Median $128.82 Typical High $288.40 | Professional | None | $112.20 | $128.82 | $288.40 |
The Alliance Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $257.04 | Professional | None | $91.20 | $173.78 | $257.04 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $213.80 | Professional | None | $74.13 | $93.33 | $213.80 |
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 $41.69 Median $41.69 Typical High $186.21 | Professional | 52 · Reduced service | $41.69 | $41.69 | $186.21 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 80 · Assistant surgeon | $26.30 | $30.20 | $31.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $26.30 | $30.20 | $31.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $30.20 | $31.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $26.30 Typical High $27.54 | Professional | AS · PA/NP assist | $22.91 | $26.30 | $27.54 |
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.