How much rates vary
Facilitymedian $74 · 10th to 90th $26 to $138Professionalmedian $35 · 10th to 90th $26 to $105
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 $26.30 Median $26.30 Typical High $42.66 | Facility | None | $26.30 | $26.30 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $112.20 | Professional | None | $23.44 | $26.30 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $100.00 | Professional | None | $25.70 | $38.02 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $117.49 | Facility | None | $89.13 | $102.33 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $97.72 | Professional | None | $28.18 | $33.88 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $37.15 Typical High $69.18 | Facility | None | $20.89 | $37.15 | $69.18 |
DeanCare Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $69.18 | Professional | None | $58.88 | $60.26 | $69.18 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $158.49 | Facility | None | $37.15 | $104.71 | $158.49 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $208.93 | Professional | None | $30.90 | $45.71 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Facility | None | $50.12 | $50.12 | $70.79 |
Network Health Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $58.88 | Professional | None | $29.51 | $37.15 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $20.89 Median $37.15 Typical High $69.18 | Facility | None | $20.89 | $37.15 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $63.10 Typical High $112.20 | Professional | None | $35.48 | $63.10 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | None | $32.36 | $33.88 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $91.20 | Professional | None | $42.66 | $63.10 | $91.20 |
The Alliance Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $89.13 | Professional | None | $33.11 | $46.77 | $89.13 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $81.28 | Professional | None | $29.51 | $33.88 | $81.28 |
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 $9.55 Median $9.55 Typical High $10.96 | Professional | 80 · Assistant surgeon | $9.55 | $9.55 | $10.96 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 81 · Minimal assistant surgeon | $9.55 | $9.55 | $10.96 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $9.55 | $10.96 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | AS · PA/NP assist | $8.32 | $8.32 | $9.55 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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
$36.31
AK $63.10OH $20.89
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.