How much rates vary
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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None | $33.11 | $33.11 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $114.82 | Professional | None | $30.90 | $44.67 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $151.36 | Facility | None | $114.82 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $109.65 | Professional | None | $35.48 | $42.66 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $87.10 | Facility | None | $26.30 | $46.77 | $87.10 |
DeanCare Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $87.10 | Professional | None | $74.13 | $75.86 | $87.10 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $87.10 | Facility | None | $26.30 | $46.77 | $87.10 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $263.03 | Professional | None | $32.36 | $46.77 | $263.03 |
Network Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Network Health Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $75.86 | Professional | None | $37.15 | $42.66 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $87.10 | Facility | None | $26.30 | $46.77 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $128.82 | Professional | None | $44.67 | $79.43 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | None | $40.74 | $42.66 | $51.29 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $117.49 | Professional | None | $40.74 | $64.57 | $117.49 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $95.50 | Professional | None | $32.36 | $41.69 | $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 $12.02 Median $12.30 Typical High $13.80 | Professional | 80 · Assistant surgeon | $12.02 | $12.30 | $13.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.30 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.30 | $13.80 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.30 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.30 | $13.80 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $10.72 Typical High $12.30 | Professional | AS · PA/NP assist | $10.47 | $10.72 | $12.30 |
Where Wisconsin sits
The same service costs 3.8 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· 19th of 51
$42.66
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.