How much rates vary
Facilitymedian $51 · 10th to 90th $28 to $115Professionalmedian $36 · 10th to 90th $28 to $105
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $83.18 | Professional | None | $24.55 | $27.54 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $97.72 | Professional | None | $26.30 | $37.15 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $123.03 | Facility | None | $93.33 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $102.33 | Professional | None | $28.84 | $35.48 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $72.44 | Facility | None | $21.38 | $38.90 | $72.44 |
DeanCare Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $75.86 | Professional | None | $61.66 | $63.10 | $75.86 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $67.61 Typical High $138.04 | Facility | None | $32.36 | $67.61 | $138.04 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $213.80 | Professional | None | $30.90 | $45.71 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Facility | None | $51.29 | $51.29 | $67.61 |
Network Health Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $54.95 | Professional | None | $30.90 | $38.02 | $54.95 |
Prevea360 Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $72.44 | Facility | None | $21.38 | $38.90 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $70.79 Typical High $151.36 | Professional | None | $37.15 | $70.79 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $42.66 | Professional | None | $33.88 | $35.48 | $42.66 |
Security Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $95.50 | Professional | None | $39.81 | $79.43 | $95.50 |
The Alliance Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $107.15 | Professional | None | $34.67 | $53.70 | $107.15 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $89.13 | Professional | None | $30.20 | $34.67 | $89.13 |
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 $10.00 Median $10.00 Typical High $12.02 | Professional | 80 · Assistant surgeon | $10.00 | $10.00 | $12.02 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $10.00 | $10.00 | $12.02 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $10.00 | $12.02 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $8.91 Typical High $10.47 | Professional | AS · PA/NP assist | $8.71 | $8.91 | $10.47 |
Where Wisconsin sits
The same service costs 3.2 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· 16th of 51
$36.31
AK $66.07OH $20.42
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.