How much rates vary
Facilitymedian $35 · 10th to 90th $17 to $123Professionalmedian $43 · 10th to 90th $21 to $117
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 $17.38 Median $17.38 Typical High $34.67 | Facility | None | $17.38 | $17.38 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $43.65 | Professional | None | $17.38 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $107.15 | Professional | None | $23.99 | $45.71 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $177.83 | Facility | None | $104.71 | $120.23 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $57.54 | Professional | None | $26.92 | $35.48 | $57.54 |
DeanCare Setting Facility Modifier None Typical Low $18.62 Median $35.48 Typical High $46.77 | Facility | None | $18.62 | $35.48 | $46.77 |
DeanCare Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $81.28 | Professional | None | $34.67 | $50.12 | $81.28 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $36.31 Typical High $331.13 | Facility | None | $18.62 | $36.31 | $331.13 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $134.90 Typical High $245.47 | Professional | None | $44.67 | $134.90 | $245.47 |
Network Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Network Health Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $70.79 | Professional | None | $28.84 | $47.86 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $35.48 Typical High $46.77 | Facility | None | $18.62 | $35.48 | $46.77 |
Prevea360 Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Quartz Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $102.33 | Professional | None | $22.91 | $51.29 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Security Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | None | $23.99 | $23.99 | $45.71 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $114.82 | Professional | None | $33.11 | $57.54 | $114.82 |
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 $23.99 Median $45.71 Typical High $87.10 | Professional | None | $23.99 | $45.71 | $87.10 |
10 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 $8.71 Median $8.71 Typical High $16.98 | Facility | 52 · Reduced service | $8.71 | $8.71 | $16.98 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $5.13 | Facility | 55 · Aftercare only | $2.63 | $2.63 | $5.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $3.47 | Facility | 56 · Pre-op care only | $1.78 | $1.78 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $16.98 Typical High $20.42 | Professional | 52 · Reduced service | $8.71 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $5.13 Typical High $6.03 | Professional | 55 · Aftercare only | $2.63 | $5.13 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $3.47 Typical High $4.07 | Professional | 56 · Pre-op care only | $1.78 | $3.47 | $4.07 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $7.94 Typical High $13.18 | Professional | 80 · Assistant surgeon | $5.62 | $7.94 | $13.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $7.94 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $5.62 | $7.94 | $13.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $7.94 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $7.94 | $13.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $6.92 Typical High $11.48 | Professional | AS · PA/NP assist | $4.90 | $6.92 | $11.48 |
Where Wisconsin sits
The same service costs 2.6 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· 7th of 51
$42.66
AK $66.07KY $25.12
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.