How much rates vary
Facilitymedian $42 · 10th to 90th $30 to $145Professionalmedian $46 · 10th to 90th $28 to $120
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 $29.51 Median $29.51 Typical High $40.74 | Facility | None | $29.51 | $29.51 | $40.74 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $14.45 Typical High $20.42 | Facility | 52 · Reduced service | $14.45 | $14.45 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $39.81 Typical High $40.74 | Professional | None | $29.51 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $14.45 | $19.50 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $104.71 | Professional | None | $27.54 | $37.15 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $218.78 | Facility | None | $128.82 | $144.54 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $112.20 | Professional | None | $47.86 | $87.10 | $112.20 |
DeanCare Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $69.18 | Facility | None | $31.62 | $41.69 | $69.18 |
DeanCare Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $102.33 | Professional | None | $50.12 | $74.13 | $102.33 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $69.18 | Facility | None | $31.62 | $41.69 | $69.18 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $223.87 Typical High $302.00 | Professional | None | $58.88 | $223.87 | $302.00 |
Network Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Network Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | None | $35.48 | $35.48 | $43.65 |
Prevea360 Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $69.18 | Facility | None | $31.62 | $41.69 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $104.71 | Professional | None | $38.90 | $64.57 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $89.13 | Professional | None | $38.02 | $52.48 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $25.70 Median $48.98 Typical High $141.25 | Professional | None | $25.70 | $48.98 | $141.25 |
United Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $102.33 | Professional | None | $37.15 | $61.66 | $102.33 |
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 $7.94 Median $11.75 Typical High $16.60 | Professional | 80 · Assistant surgeon | $7.94 | $11.75 | $16.60 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $11.75 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $7.94 | $11.75 | $16.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $11.75 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $11.75 | $16.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $10.23 Typical High $14.45 | Professional | AS · PA/NP assist | $7.08 | $10.23 | $14.45 |
Where Wisconsin sits
The same service costs 3.5 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· 15th of 51
$45.71
AK $85.11KY $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.