How much rates vary
Facilitymedian $62 · 10th to 90th $42 to $224Professionalmedian $68 · 10th to 90th $42 to $182
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 $41.69 Median $41.69 Typical High $61.66 | Facility | None | $41.69 | $41.69 | $61.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $30.90 | Facility | 52 · Reduced service | $20.89 | $20.89 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $61.66 | Professional | None | $41.69 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $20.89 | $28.18 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $154.88 | Professional | None | $44.67 | $66.07 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $223.87 Typical High $331.13 | Facility | None | $194.98 | $223.87 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $169.82 | Professional | None | $67.61 | $134.90 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $100.00 | Facility | None | $45.71 | $61.66 | $100.00 |
DeanCare Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $158.49 | Professional | None | $75.86 | $112.20 | $158.49 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $100.00 | Facility | None | $45.71 | $61.66 | $100.00 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $316.23 Typical High $436.52 | Professional | None | $67.61 | $316.23 | $436.52 |
Network Health Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Network Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $87.10 | Professional | None | $53.70 | $53.70 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $100.00 | Facility | None | $45.71 | $61.66 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $95.50 Typical High $147.91 | Professional | None | $56.23 | $95.50 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $131.83 | Professional | None | $54.95 | $81.28 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | None | $60.26 | $60.26 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $35.48 Median $60.26 Typical High $151.36 | Professional | None | $35.48 | $60.26 | $151.36 |
United Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $117.49 | Professional | None | $39.81 | $69.18 | $117.49 |
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 $12.02 Median $18.20 Typical High $25.70 | Professional | 80 · Assistant surgeon | $12.02 | $18.20 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $18.20 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $12.02 | $18.20 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $18.20 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $18.20 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $15.85 Typical High $22.39 | Professional | AS · PA/NP assist | $10.72 | $15.85 | $22.39 |
Where Wisconsin sits
The same service costs 4.1 times more in Minnesota 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· 13th of 51
$67.61
MN $135KY $33.11
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.