How much rates vary
Facilitymedian $91 · 10th to 90th $34 to $174Professionalmedian $40 · 10th to 90th $28 to $107
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 $28.18 Median $28.18 Typical High $43.65 | Facility | None | $28.18 | $28.18 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $107.15 | Professional | None | $25.12 | $28.18 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $107.15 | Professional | None | $29.51 | $41.69 | $107.15 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $128.82 | Facility | None | $97.72 | $109.65 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $109.65 | Professional | None | $30.20 | $37.15 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $75.86 | Facility | None | $23.44 | $39.81 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $74.13 | Professional | None | $56.23 | $64.57 | $74.13 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $194.98 | Facility | None | $57.54 | $93.33 | $194.98 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $288.40 | Professional | None | $33.88 | $45.71 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $70.79 | Facility | None | $57.54 | $57.54 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $58.88 | Professional | None | $31.62 | $39.81 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $75.86 | Facility | None | $23.44 | $39.81 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $123.03 | Professional | None | $38.90 | $67.61 | $123.03 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $44.67 | Professional | None | $35.48 | $37.15 | $44.67 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $102.33 | Professional | None | $41.69 | $48.98 | $102.33 |
The Alliance Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $107.15 | Professional | None | $35.48 | $56.23 | $107.15 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $95.50 | Professional | None | $33.11 | $38.90 | $95.50 |
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 $9.12 Median $10.23 Typical High $12.02 | Professional | 80 · Assistant surgeon | $9.12 | $10.23 | $12.02 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.23 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.23 | $12.02 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.23 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.23 | $12.02 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $9.12 Typical High $10.47 | Professional | AS · PA/NP assist | $7.94 | $9.12 | $10.47 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 13th of 51
$41.69
AK $70.79VA $22.39
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.