How much rates vary
Facilitymedian $501 · 10th to 90th $282 to $1,023Professionalmedian $550 · 10th to 90th $302 to $1,175
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $2,951.21 | Professional | None | $281.84 | $281.84 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $954.99 | Professional | None | $346.74 | $588.84 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,479.11 | Facility | None | $870.96 | $1,000.00 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $891.25 | Professional | None | $371.54 | $371.54 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $691.83 | Facility | None | $302.00 | $371.54 | $691.83 |
DeanCare Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $851.14 | Professional | None | $588.84 | $660.69 | $851.14 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $691.83 | Facility | None | $302.00 | $371.54 | $691.83 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $3,162.28 | Professional | None | $407.38 | $724.44 | $3,162.28 |
Network Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $691.83 | Facility | None | $501.19 | $501.19 | $691.83 |
Network Health Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $776.25 | Professional | None | $416.87 | $616.60 | $776.25 |
Prevea360 Setting Facility Modifier None Typical Low $302.00 Median $371.54 Typical High $691.83 | Facility | None | $302.00 | $371.54 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $1,000.00 | Professional | None | $338.84 | $676.08 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | None | $371.54 | $371.54 | $467.74 |
Security Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $933.25 Typical High $1,174.90 | Professional | None | $524.81 | $933.25 | $1,174.90 |
The Alliance Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,949.84 | Professional | None | $758.58 | $1,122.02 | $1,949.84 |
United Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $933.25 | Professional | None | $354.81 | $562.34 | $933.25 |
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 $93.33 Median $104.71 Typical High $134.90 | Professional | 80 · Assistant surgeon | $93.33 | $104.71 | $134.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $104.71 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $93.33 | $104.71 | $134.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $104.71 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $104.71 | $134.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $91.20 Typical High $117.49 | Professional | AS · PA/NP assist | $83.18 | $91.20 | $117.49 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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
$550
AK $813NJ $275
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.