How much rates vary
Facilitymedian $117 · 10th to 90th $76 to $417Professionalmedian $126 · 10th to 90th $78 to $339
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 $75.86 Median $75.86 Typical High $114.82 | Facility | None | $75.86 | $75.86 | $114.82 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $57.54 | Facility | 52 · Reduced service | $38.02 | $38.02 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $114.82 | Professional | None | $75.86 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $54.95 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $288.40 | Professional | None | $87.10 | $125.89 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $338.84 | Professional | None | $128.82 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $181.97 | Facility | None | $83.18 | $117.49 | $181.97 |
DeanCare Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $295.12 | Professional | None | $138.04 | $218.78 | $295.12 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $407.38 | Facility | None | $83.18 | $125.89 | $407.38 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $575.44 Typical High $831.76 | Professional | None | $128.82 | $575.44 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Network Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | None | $100.00 | $100.00 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $181.97 | Facility | None | $83.18 | $117.49 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $269.15 | Professional | None | $102.33 | $173.78 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $234.42 | Professional | None | $100.00 | $151.36 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | None | $109.65 | $109.65 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $281.84 | Professional | None | $70.79 | $123.03 | $281.84 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $239.88 | Professional | None | $75.86 | $138.04 | $239.88 |
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 $22.39 Median $34.67 Typical High $46.77 | Professional | 80 · Assistant surgeon | $22.39 | $34.67 | $46.77 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $34.67 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $22.39 | $34.67 | $46.77 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $34.67 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $34.67 | $46.77 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $30.20 Typical High $41.69 | Professional | AS · PA/NP assist | $19.50 | $30.20 | $41.69 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 14th of 51
$126
AK $219KY $64.57
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.