How much rates vary
Facilitymedian $28 · 10th to 90th $23 to $81Professionalmedian $38 · 10th to 90th $25 to $74
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 $23.44 Median $23.44 Typical High $26.30 | Facility | None | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $34.67 | Professional | None | $23.44 | $26.30 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $72.44 | Professional | None | $26.30 | $44.67 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $38.90 | Professional | None | $25.12 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $123.03 | Facility | None | $72.44 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $69.18 | Professional | None | $27.54 | $30.20 | $69.18 |
DeanCare Setting Facility Modifier None Typical Low $23.99 Median $28.18 Typical High $54.95 | Facility | None | $23.99 | $28.18 | $54.95 |
DeanCare Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $63.10 | Professional | None | $37.15 | $48.98 | $63.10 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $75.86 | Facility | None | $23.99 | $28.84 | $75.86 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $346.74 | Professional | None | $29.51 | $53.70 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $50.12 | Facility | None | $38.02 | $38.02 | $50.12 |
Network Health Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $56.23 | Professional | None | $27.54 | $50.12 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $23.99 Median $28.18 Typical High $54.95 | Facility | None | $23.99 | $28.18 | $54.95 |
Quartz Setting Professional Modifier None Typical Low $30.90 Median $53.70 Typical High $79.43 | Professional | None | $30.90 | $53.70 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $37.15 | Professional | None | $27.54 | $30.20 | $37.15 |
Security Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | None | $30.20 | $30.20 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $87.10 | Professional | None | $26.92 | $48.98 | $87.10 |
The Alliance Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $72.44 | Professional | None | $36.31 | $54.95 | $72.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $70.79 | Professional | None | $26.92 | $38.90 | $70.79 |
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 $5.89 Median $7.76 Typical High $10.00 | Professional | 80 · Assistant surgeon | $5.89 | $7.76 | $10.00 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.76 Typical High $10.00 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.76 | $10.00 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.76 Typical High $10.00 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.76 | $10.00 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.25 Median $6.76 Typical High $8.71 | Professional | AS · PA/NP assist | $5.25 | $6.76 | $8.71 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 12th of 51
$38.02
AK $64.57NJ $21.88
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.