How much rates vary
Facilitymedian $69 · 10th to 90th $56 to $126Professionalmedian $62 · 10th to 90th $49 to $162
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 $48.98 Median $48.98 Typical High $58.88 | Facility | None | $48.98 | $48.98 | $58.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $29.51 | Facility | 52 · Reduced service | $24.55 | $24.55 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $58.88 | Professional | None | $48.98 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $26.92 Typical High $29.51 | Professional | 52 · Reduced service | $24.55 | $26.92 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $151.36 | Professional | None | $51.29 | $58.88 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $186.21 Typical High $275.42 | Facility | None | $162.18 | $186.21 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $151.36 | Professional | None | $67.61 | $112.20 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $104.71 | Facility | None | $52.48 | $58.88 | $104.71 |
DeanCare Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $151.36 | Professional | None | $70.79 | $107.15 | $151.36 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $104.71 | Facility | None | $52.48 | $58.88 | $104.71 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $323.59 Typical High $371.54 | Professional | None | $93.33 | $323.59 | $371.54 |
Network Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | None | $45.71 | $45.71 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $52.48 Median $58.88 Typical High $104.71 | Facility | None | $52.48 | $58.88 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $128.82 | Professional | None | $56.23 | $77.62 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $131.83 | Professional | None | $56.23 | $67.61 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
Security Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $123.03 | Professional | None | $46.77 | $79.43 | $123.03 |
United Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $165.96 | Professional | None | $61.66 | $102.33 | $165.96 |
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 $11.48 Median $17.38 Typical High $24.55 | Professional | 80 · Assistant surgeon | $11.48 | $17.38 | $24.55 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $17.38 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $11.48 | $17.38 | $24.55 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $17.38 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $17.38 | $24.55 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $15.14 Typical High $21.38 | Professional | AS · PA/NP assist | $10.00 | $15.14 | $21.38 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Indiana. 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
$61.66
AK $115IN $22.91
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.