How much rates vary
Facilitymedian $83 · 10th to 90th $65 to $245Professionalmedian $112 · 10th to 90th $71 to $234
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 $64.57 Median $64.57 Typical High $70.79 | Facility | None | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $141.25 | Professional | None | $64.57 | $70.79 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $218.78 | Professional | None | $79.43 | $123.03 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | None | $75.86 | $97.72 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $371.54 | Facility | None | $218.78 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $199.53 | Professional | None | $83.18 | $91.20 | $199.53 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $165.96 | Facility | None | $67.61 | $83.18 | $165.96 |
DeanCare Setting Professional Modifier None Typical Low $112.20 Median $147.91 Typical High $194.98 | Professional | None | $112.20 | $147.91 | $194.98 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $234.42 | Facility | None | $67.61 | $89.13 | $234.42 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $478.63 Typical High $524.81 | Professional | None | $100.00 | $478.63 | $524.81 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Network Health Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $208.93 | Professional | None | $61.66 | $114.82 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $165.96 | Facility | None | $67.61 | $83.18 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $245.47 | Professional | None | $93.33 | $165.96 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $114.82 | Professional | None | $83.18 | $91.20 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | None | $91.20 | $91.20 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $169.82 | Professional | None | $95.50 | $117.49 | $169.82 |
The Alliance Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $218.78 | Professional | None | $95.50 | $151.36 | $218.78 |
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 $83.18 Median $120.23 Typical High $213.80 | Professional | None | $83.18 | $120.23 | $213.80 |
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 $31.62 Median $31.62 Typical High $34.67 | Facility | 52 · Reduced service | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $31.62 | $34.67 | $41.69 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 80 · Assistant surgeon | $17.78 | $23.44 | $31.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $17.78 | $23.44 | $31.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $23.44 | $31.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $20.42 Typical High $27.54 | Professional | AS · PA/NP assist | $15.85 | $20.42 | $27.54 |
Where Wisconsin sits
The same service costs 2.8 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· 12th of 51
$112
AK $182NY $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.