How much rates vary
Facilitymedian $347 · 10th to 90th $195 to $708Professionalmedian $380 · 10th to 90th $209 to $851
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $1,621.81 | Professional | None | $194.98 | $194.98 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $676.08 | Professional | None | $245.47 | $416.87 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $1,023.29 | Facility | None | $602.56 | $676.08 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $707.95 | Professional | None | $251.19 | $251.19 | $707.95 |
DeanCare Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $478.63 | Facility | None | $208.93 | $251.19 | $478.63 |
DeanCare Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $575.44 | Professional | None | $398.11 | $446.68 | $575.44 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $478.63 | Facility | None | $208.93 | $251.19 | $478.63 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $2,041.74 | Professional | None | $288.40 | $512.86 | $2,041.74 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $512.86 | Facility | None | $346.74 | $346.74 | $512.86 |
Network Health Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $575.44 | Professional | None | $288.40 | $478.63 | $575.44 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $478.63 | Facility | None | $208.93 | $251.19 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $691.83 | Professional | None | $223.87 | $446.68 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $812.83 | Professional | None | $338.84 | $676.08 | $812.83 |
The Alliance Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $1,023.29 | Professional | None | $331.13 | $489.78 | $1,023.29 |
United Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $645.65 | Professional | None | $245.47 | $389.05 | $645.65 |
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 $64.57 Median $72.44 Typical High $93.33 | Professional | 80 · Assistant surgeon | $64.57 | $72.44 | $93.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $72.44 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $64.57 | $72.44 | $93.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $72.44 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $72.44 | $93.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $63.10 Typical High $81.28 | Professional | AS · PA/NP assist | $56.23 | $63.10 | $81.28 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska than in New York. 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· 9th of 51
$380
AK $562NY $195
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.