How much rates vary
Facilitymedian $174 · 10th to 90th $74 to $457Professionalmedian $214 · 10th to 90th $148 to $1,230
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $147.91 | Professional | None | $79.43 | $147.91 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $338.84 Typical High $1,230.27 | Professional | None | $204.17 | $338.84 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $457.09 | Facility | None | $234.42 | $234.42 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | None | $151.36 | $151.36 | $354.81 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $251.19 | Facility | None | $72.44 | $91.20 | $251.19 |
DeanCare Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $213.80 | Professional | None | $104.71 | $120.23 | $213.80 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $537.03 | Facility | None | $173.78 | $251.19 | $537.03 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $1,288.25 | Professional | None | $213.80 | $257.04 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $63.10 | Facility | None | $45.71 | $63.10 | $63.10 |
Network Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $588.84 | Professional | None | $316.23 | $316.23 | $588.84 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $457.09 | Facility | None | $173.78 | $251.19 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $707.95 | Professional | None | $245.47 | $467.74 | $707.95 |
Quartz Setting Facility Modifier None Typical Low $199.53 Median $457.09 Typical High $457.09 | Facility | None | $199.53 | $457.09 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Professional | None | $213.80 | $213.80 | $239.88 |
8 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 Facility Modifier 80 · Assistant surgeon Typical Low $11.48 Median $14.13 Typical High $18.20 | Facility | 80 · Assistant surgeon | $11.48 | $14.13 | $18.20 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $14.13 Typical High $18.20 | Facility | 81 · Minimal assistant surgeon | $11.48 | $14.13 | $18.20 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $14.13 Typical High $18.20 | Facility | 82 · Assistant surgeon, no resident | $11.48 | $14.13 | $18.20 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $10.00 Median $12.59 Typical High $15.85 | Facility | AS · PA/NP assist | $10.00 | $12.59 | $15.85 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $19.05 Typical High $33.88 | Professional | 80 · Assistant surgeon | $16.60 | $19.05 | $33.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $19.05 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $16.60 | $19.05 | $33.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $19.05 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $19.05 | $33.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $16.60 Typical High $29.51 | Professional | AS · PA/NP assist | $14.79 | $16.60 | $29.51 |
Where Wisconsin sits
The same service costs 3.9 times more in New York 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· 11th of 51
$214
NY $331KY $85.11
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.