How much rates vary
Facilitymedian $182 · 10th to 90th $102 to $363Professionalmedian $195 · 10th to 90th $110 to $447
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $1,479.11 | Professional | None | $102.33 | $102.33 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $346.74 | Professional | None | $131.83 | $213.80 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | None | $112.20 | $112.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $524.81 | Facility | None | $316.23 | $354.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $371.54 | Professional | None | $131.83 | $131.83 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $245.47 | Facility | None | $109.65 | $131.83 | $245.47 |
DeanCare Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $302.00 | Professional | None | $208.93 | $234.42 | $302.00 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $245.47 | Facility | None | $109.65 | $131.83 | $245.47 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $1,071.52 | Professional | None | $147.91 | $257.04 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Facility | None | $181.97 | $181.97 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $281.84 | Professional | None | $147.91 | $234.42 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $245.47 | Facility | None | $109.65 | $131.83 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $371.54 | Professional | None | $117.49 | $234.42 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $416.87 | Professional | None | $173.78 | $346.74 | $416.87 |
The Alliance Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $407.38 | Professional | None | $158.49 | $245.47 | $407.38 |
United Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $363.08 | Professional | None | $128.82 | $194.98 | $363.08 |
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 $33.88 Median $38.02 Typical High $48.98 | Professional | 80 · Assistant surgeon | $33.88 | $38.02 | $48.98 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $38.02 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $33.88 | $38.02 | $48.98 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $38.02 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $38.02 | $48.98 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $33.11 Typical High $42.66 | Professional | AS · PA/NP assist | $29.51 | $33.11 | $42.66 |
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
$195
AK $295NY $102
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.