How much rates vary
Facilitymedian $1,349 · 10th to 90th $759 to $2,692Professionalmedian $1,479 · 10th to 90th $813 to $3,631
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $7,244.36 | Professional | None | $758.58 | $758.58 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $3,630.78 | Professional | None | $891.25 | $1,698.24 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,258.93 | Professional | None | $831.76 | $831.76 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,630.27 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,691.53 | Professional | None | $977.24 | $977.24 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,819.70 | Facility | None | $794.33 | $977.24 | $1,819.70 |
DeanCare Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,737.80 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,819.70 | Facility | None | $794.33 | $977.24 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $8,128.31 | Professional | None | $1,071.52 | $1,905.46 | $8,128.31 |
Network Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,862.09 | Facility | None | $1,348.96 | $1,348.96 | $1,862.09 |
Network Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,698.24 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $794.33 Median $977.24 Typical High $1,819.70 | Facility | None | $794.33 | $977.24 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $1,737.80 Typical High $2,754.23 | Professional | None | $870.96 | $1,737.80 | $2,754.23 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | None | $977.24 | $977.24 | $1,412.54 |
Security Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,570.40 Typical High $3,090.30 | Professional | None | $1,318.26 | $2,570.40 | $3,090.30 |
The Alliance Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,778.28 | $3,019.95 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,630.27 | Professional | None | $933.25 | $1,445.44 | $2,630.27 |
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 $251.19 Median $275.42 Typical High $354.81 | Professional | 80 · Assistant surgeon | $251.19 | $275.42 | $354.81 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $275.42 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $251.19 | $275.42 | $354.81 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $275.42 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $251.19 | $275.42 | $354.81 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $245.47 Typical High $316.23 | Professional | AS · PA/NP assist | $218.78 | $245.47 | $316.23 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 7th of 51
$1,479
AK $2,188FL $759
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.