How much rates vary
Facilitymedian $39 · 10th to 90th $34 to $105Professionalmedian $52 · 10th to 90th $34 to $123
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 $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $45.71 | Professional | None | $33.88 | $36.31 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $61.66 Typical High $120.23 | Professional | None | $32.36 | $61.66 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $104.71 Typical High $154.88 | Facility | None | $91.20 | $104.71 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $93.33 | Professional | None | $38.90 | $50.12 | $93.33 |
DeanCare Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $75.86 | Facility | None | $32.36 | $38.90 | $75.86 |
DeanCare Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $87.10 | Professional | None | $47.86 | $64.57 | $87.10 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $75.86 | Facility | None | $32.36 | $38.90 | $75.86 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $67.61 Typical High $512.86 | Professional | None | $34.67 | $67.61 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $85.11 Typical High $89.13 | Professional | None | $35.48 | $85.11 | $89.13 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $75.86 | Facility | None | $32.36 | $38.90 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $109.65 | Professional | None | $38.90 | $69.18 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | None | $38.90 | $38.90 | $52.48 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | None | $38.02 | $38.02 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $114.82 | Professional | None | $46.77 | $61.66 | $114.82 |
The Alliance Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $158.49 | Professional | None | $77.62 | $141.25 | $158.49 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $134.90 | Professional | None | $34.67 | $54.95 | $134.90 |
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 $7.59 Median $10.23 Typical High $14.13 | Professional | 80 · Assistant surgeon | $7.59 | $10.23 | $14.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $10.23 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $7.59 | $10.23 | $14.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $10.23 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $10.23 | $14.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $8.91 Typical High $12.30 | Professional | AS · PA/NP assist | $6.61 | $8.91 | $12.30 |
Where Wisconsin sits
The same service costs 3.7 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
$52.48
AK $89.13NY $23.99
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.