How much rates vary
Facilitymedian $14 · 10th to 90th $11 to $45Professionalmedian $21 · 10th to 90th $13 to $44
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 $10.72 Median $12.88 Typical High $12.88 | Facility | None | $10.72 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $19.95 | Professional | None | $10.72 | $12.88 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $38.90 | Professional | None | $14.13 | $22.39 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $21.38 | Professional | None | $13.80 | $17.78 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $67.61 | Facility | None | $39.81 | $44.67 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $38.02 | Professional | None | $16.60 | $19.95 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $25.70 | Facility | None | $11.48 | $14.13 | $25.70 |
DeanCare Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $33.88 | Professional | None | $19.05 | $26.30 | $33.88 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $25.70 | Facility | None | $11.48 | $14.13 | $25.70 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $69.18 Typical High $93.33 | Professional | None | $17.78 | $69.18 | $93.33 |
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 $11.22 Median $18.62 Typical High $38.02 | Professional | None | $11.22 | $18.62 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $25.70 | Facility | None | $11.48 | $14.13 | $25.70 |
Quartz Setting Professional Modifier None Typical Low $14.45 Median $25.12 Typical High $38.02 | Professional | None | $14.45 | $25.12 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Security Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | None | $15.14 | $15.14 | $17.78 |
Security Health Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $30.90 | Professional | None | $18.20 | $24.55 | $30.90 |
The Alliance Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $37.15 | Professional | None | $15.85 | $26.30 | $37.15 |
United Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $36.31 | Professional | None | $14.13 | $21.38 | $36.31 |
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 $3.02 Median $4.27 Typical High $5.37 | Professional | 80 · Assistant surgeon | $3.02 | $4.27 | $5.37 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.02 Median $4.27 Typical High $5.37 | Professional | 81 · Minimal assistant surgeon | $3.02 | $4.27 | $5.37 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.02 Median $4.27 Typical High $5.37 | Professional | 82 · Assistant surgeon, no resident | $3.02 | $4.27 | $5.37 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $2.69 Median $3.72 Typical High $4.68 | Professional | AS · PA/NP assist | $2.69 | $3.72 | $4.68 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska 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· 8th of 51
$21.38
AK $33.88KY $11.75
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.