How much rates vary
Facilitymedian $79 · 10th to 90th $60 to $214Professionalmedian $100 · 10th to 90th $60 to $219
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $100.00 | Professional | None | $60.26 | $60.26 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $194.98 | Professional | None | $69.18 | $109.65 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $316.23 | Facility | None | $186.21 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $181.97 | Professional | None | $79.43 | $79.43 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $147.91 | Facility | None | $61.66 | $79.43 | $147.91 |
DeanCare Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $173.78 | Professional | None | $102.33 | $141.25 | $173.78 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $147.91 | Facility | None | $61.66 | $79.43 | $147.91 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $446.68 Typical High $457.09 | Professional | None | $87.10 | $446.68 | $457.09 |
Network Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Network Health Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $186.21 | Professional | None | $52.48 | $97.72 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $147.91 | Facility | None | $61.66 | $79.43 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $213.80 | Professional | None | $85.11 | $151.36 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | None | $79.43 | $79.43 | $100.00 |
Security Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | None | $83.18 | $114.82 | $147.91 |
The Alliance Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | None | $97.72 | $97.72 | $104.71 |
United Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $199.53 | Professional | None | $74.13 | $104.71 | $199.53 |
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 $30.20 Median $30.20 Typical High $30.20 | Facility | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $30.20 | $36.31 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $22.39 Typical High $27.54 | Professional | 80 · Assistant surgeon | $16.60 | $22.39 | $27.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $22.39 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $16.60 | $22.39 | $27.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $22.39 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $22.39 | $27.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $19.50 Typical High $24.55 | Professional | AS · PA/NP assist | $14.45 | $19.50 | $24.55 |
Where Wisconsin sits
The same service costs 3.0 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
$100
AK $174NY $57.54
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.