How much rates vary
Facilitymedian $240 · 10th to 90th $162 to $832Professionalmedian $324 · 10th to 90th $195 to $741
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 $162.18 Median $162.18 Typical High $234.42 | Facility | None | $162.18 | $162.18 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $346.74 | Professional | None | $162.18 | $229.09 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $691.83 | Professional | None | $223.87 | $371.54 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Facility | None | $741.31 | $831.76 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $630.96 | Professional | None | $213.80 | $309.03 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $501.19 | Facility | None | $173.78 | $239.88 | $501.19 |
DeanCare Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $575.44 | Professional | None | $346.74 | $489.78 | $575.44 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $501.19 | Facility | None | $173.78 | $234.42 | $501.19 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $1,202.26 Typical High $1,737.80 | Professional | None | $295.12 | $1,202.26 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $691.83 | Professional | None | $204.17 | $346.74 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $501.19 | Facility | None | $173.78 | $239.88 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $707.95 | Professional | None | $263.03 | $446.68 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $354.81 | Professional | None | $213.80 | $275.42 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $338.84 | Professional | None | $234.42 | $234.42 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $851.14 | Professional | None | $295.12 | $398.11 | $851.14 |
The Alliance Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $575.44 | Professional | None | $204.17 | $309.03 | $575.44 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $117.49 | Facility | 52 · Reduced service | $81.28 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $77.62 Typical High $91.20 | Professional | 80 · Assistant surgeon | $54.95 | $77.62 | $91.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $77.62 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $54.95 | $77.62 | $91.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $77.62 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $77.62 | $91.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $67.61 Typical High $81.28 | Professional | AS · PA/NP assist | $48.98 | $67.61 | $81.28 |
Where Wisconsin sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$324
AK $501AL $186
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.