How much rates vary
Facilitymedian $76 · 10th to 90th $54 to $166Professionalmedian $55 · 10th to 90th $43 to $155
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 $53.70 Median $53.70 Typical High $63.10 | Facility | None | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $269.15 | Professional | None | $53.70 | $53.70 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $151.36 | Professional | None | $40.74 | $58.88 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $162.18 Typical High $186.21 | Facility | None | $141.25 | $162.18 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $138.04 | Professional | None | $44.67 | $53.70 | $138.04 |
DeanCare Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $109.65 | Facility | None | $48.98 | $61.66 | $109.65 |
DeanCare Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $107.15 | Professional | None | $93.33 | $95.50 | $107.15 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $194.98 | Facility | None | $54.95 | $72.44 | $194.98 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $346.74 | Professional | None | $45.71 | $63.10 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Network Health Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $75.86 | Professional | None | $39.81 | $45.71 | $75.86 |
Prevea360 Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $109.65 | Facility | None | $48.98 | $61.66 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $158.49 | Professional | None | $54.95 | $102.33 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $64.57 | Professional | None | $51.29 | $53.70 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Security Health Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $147.91 | Professional | None | $50.12 | $67.61 | $147.91 |
The Alliance Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $128.82 | Professional | None | $51.29 | $72.44 | $128.82 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $120.23 | Professional | None | $44.67 | $51.29 | $120.23 |
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 $26.92 Median $26.92 Typical High $134.90 | Professional | 52 · Reduced service | $26.92 | $26.92 | $134.90 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $15.14 Typical High $16.98 | Professional | 80 · Assistant surgeon | $14.79 | $15.14 | $16.98 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $15.14 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $14.79 | $15.14 | $16.98 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $15.14 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $15.14 | $16.98 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | AS · PA/NP assist | $13.18 | $13.18 | $14.79 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 21st of 51
$54.95
AK $110UT $31.62
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.