How much rates vary
Facilitymedian $28 · 10th to 90th $24 to $76Professionalmedian $36 · 10th to 90th $24 to $85
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 $23.99 Median $23.99 Typical High $25.70 | Facility | None | $23.99 | $23.99 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $40.74 | Professional | None | $23.99 | $25.70 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $81.28 | Professional | None | $23.44 | $42.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $112.20 | Facility | None | $66.07 | $75.86 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $66.07 | Professional | None | $27.54 | $35.48 | $66.07 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $51.29 | Facility | None | $23.44 | $27.54 | $51.29 |
DeanCare Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $60.26 | Professional | None | $33.88 | $45.71 | $60.26 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $51.29 | Facility | None | $23.44 | $27.54 | $51.29 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $346.74 | Professional | None | $25.12 | $45.71 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Network Health Setting Professional Modifier None Typical Low $25.70 Median $56.23 Typical High $61.66 | Professional | None | $25.70 | $56.23 | $61.66 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $51.29 | Facility | None | $23.44 | $27.54 | $51.29 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $77.62 | Professional | None | $26.92 | $48.98 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | None | $27.54 | $27.54 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | None | $26.30 | $26.30 | $28.84 |
Security Health Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $75.86 | Professional | None | $31.62 | $41.69 | $75.86 |
The Alliance Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $100.00 | Professional | None | $37.15 | $77.62 | $100.00 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $91.20 | Professional | None | $25.12 | $36.31 | $91.20 |
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 $5.50 Median $7.24 Typical High $9.77 | Professional | 80 · Assistant surgeon | $5.50 | $7.24 | $9.77 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $7.24 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $5.50 | $7.24 | $9.77 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $7.24 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $7.24 | $9.77 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $6.31 Typical High $8.51 | Professional | AS · PA/NP assist | $4.79 | $6.31 | $8.51 |
Where Wisconsin sits
The same service costs 3.5 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
$36.31
AK $60.26NY $16.98
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.