How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $40Professionalmedian $19 · 10th to 90th $12 to $45
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 $12.30 Median $12.30 Typical High $14.13 | Facility | None | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $16.98 | Professional | None | $12.30 | $14.13 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $42.66 | Professional | None | $12.88 | $21.88 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $39.81 Typical High $60.26 | Facility | None | $35.48 | $39.81 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $33.88 | Professional | None | $15.14 | $18.62 | $33.88 |
DeanCare Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $26.92 | Facility | None | $12.02 | $15.14 | $26.92 |
DeanCare Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $31.62 | Professional | None | $17.38 | $23.44 | $31.62 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $26.92 | Facility | None | $12.02 | $14.45 | $26.92 |
Medica Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $199.53 | Professional | None | $13.80 | $23.99 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Network Health Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $30.90 | Professional | None | $13.80 | $28.18 | $30.90 |
Prevea360 Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $26.92 | Facility | None | $12.02 | $15.14 | $26.92 |
Quartz Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $40.74 | Professional | None | $14.79 | $26.30 | $40.74 |
Quartz Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.62 | Professional | None | $15.14 | $15.14 | $18.62 |
Security Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | None | $13.49 | $13.49 | $15.49 |
Security Health Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $38.02 | Professional | None | $16.22 | $21.38 | $38.02 |
The Alliance Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $39.81 | Professional | None | $18.62 | $22.39 | $39.81 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $45.71 | Professional | None | $12.88 | $18.20 | $45.71 |
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 $2.82 Median $3.80 Typical High $5.13 | Professional | 80 · Assistant surgeon | $2.82 | $3.80 | $5.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.82 Median $3.80 Typical High $5.13 | Professional | 81 · Minimal assistant surgeon | $2.82 | $3.80 | $5.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.82 Median $3.80 Typical High $5.13 | Professional | 82 · Assistant surgeon, no resident | $2.82 | $3.80 | $5.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $2.45 Median $3.31 Typical High $4.47 | Professional | AS · PA/NP assist | $2.45 | $3.31 | $4.47 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New York. 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· 9th of 51
$19.05
AK $30.90NY $9.77
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.