How much rates vary
Facilitymedian $43 · 10th to 90th $21 to $93Professionalmedian $27 · 10th to 90th $18 to $71
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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $107.15 | Professional | None | $19.95 | $20.89 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $64.57 | Professional | None | $17.78 | $26.92 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $93.33 | Facility | None | $54.95 | $63.10 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $56.23 | Professional | None | $22.39 | $22.39 | $56.23 |
DeanCare Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $42.66 | Facility | None | $18.62 | $22.39 | $42.66 |
DeanCare Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $43.65 | Professional | None | $35.48 | $37.15 | $43.65 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $331.13 | Facility | None | $18.62 | $23.44 | $331.13 |
Medica Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $120.23 | Professional | None | $19.05 | $38.02 | $120.23 |
Network Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $33.88 | Professional | None | $17.38 | $17.38 | $33.88 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $42.66 | Facility | None | $18.62 | $22.39 | $42.66 |
Quartz Setting Professional Modifier None Typical Low $23.99 Median $40.74 Typical High $58.88 | Professional | None | $23.99 | $40.74 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None | $22.39 | $22.39 | $26.92 |
Security Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Security Health Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $40.74 | Professional | None | $21.38 | $26.30 | $40.74 |
The Alliance Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $56.23 | Professional | None | $21.38 | $31.62 | $56.23 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $51.29 | Professional | None | $19.05 | $28.84 | $51.29 |
6 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 $10.23 Median $10.23 Typical High $52.48 | Professional | 52 · Reduced service | $10.23 | $10.23 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $21.38 | Professional | 53 · Discontinued | $4.17 | $4.17 | $21.38 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $6.03 Typical High $6.92 | Professional | 80 · Assistant surgeon | $5.62 | $6.03 | $6.92 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $6.03 Typical High $6.92 | Professional | 81 · Minimal assistant surgeon | $5.62 | $6.03 | $6.92 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $6.03 Typical High $6.92 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $6.03 | $6.92 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.25 Typical High $6.17 | Professional | AS · PA/NP assist | $5.01 | $5.25 | $6.17 |
Where Wisconsin sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 15th of 51
$26.92
MN $39.81KY $17.38
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.