How much rates vary
Facilitymedian $214 · 10th to 90th $117 to $631Professionalmedian $229 · 10th to 90th $135 to $525
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 $117.49 Median $134.90 Typical High $177.83 | Facility | None | $117.49 | $134.90 | $177.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $89.13 | Facility | 52 · Reduced service | $58.88 | $58.88 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $177.83 | Professional | None | $117.49 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $58.88 | $85.11 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $501.19 | Professional | None | $141.25 | $194.98 | $501.19 |
CareSource Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $954.99 | Facility | None | $562.34 | $630.96 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $478.63 | Professional | None | $229.09 | $316.23 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $316.23 | Facility | None | $128.82 | $194.98 | $316.23 |
DeanCare Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $524.81 | Professional | None | $218.78 | $346.74 | $524.81 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $426.58 | Facility | None | $128.82 | $229.09 | $426.58 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $891.25 Typical High $1,288.25 | Professional | None | $263.03 | $891.25 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Facility | None | $213.80 | $213.80 | $269.15 |
Network Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | None | $154.88 | $154.88 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $316.23 | Facility | None | $128.82 | $194.98 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $457.09 | Professional | None | $154.88 | $281.84 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $389.05 | Professional | None | $154.88 | $229.09 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | None | $169.82 | $169.82 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $426.58 | Professional | None | $125.89 | $269.15 | $426.58 |
The Alliance Setting Professional Modifier None Typical Low $141.25 Median $302.00 Typical High $575.44 | Professional | None | $141.25 | $302.00 | $575.44 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $478.63 | Professional | None | $165.96 | $269.15 | $478.63 |
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 $35.48 Median $54.95 Typical High $83.18 | Professional | 80 · Assistant surgeon | $35.48 | $54.95 | $83.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $54.95 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $35.48 | $54.95 | $83.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $54.95 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $54.95 | $83.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $48.98 Typical High $72.44 | Professional | AS · PA/NP assist | $30.90 | $48.98 | $72.44 |
Where Wisconsin sits
The same service costs 2.8 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· 10th of 51
$229
AK $339KY $120
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.