How much rates vary
Facilitymedian $25 · 10th to 90th $14 to $14,454Professionalmedian $30 · 10th to 90th $12 to $85
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.44 Median $23.44 Typical High $14,454.40 | Facility | None | $23.44 | $23.44 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $114.82 | Professional | None | $14.45 | $23.44 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $47.86 Typical High $85.11 | Professional | None | $12.02 | $47.86 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $54.95 | Facility | None | $32.36 | $37.15 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $38.02 | Professional | None | $10.72 | $10.72 | $38.02 |
DeanCare Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $25.12 | Facility | None | $11.48 | $14.45 | $25.12 |
DeanCare Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | None | $21.88 | $26.92 | $33.88 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $25.12 | Facility | None | $11.48 | $14.45 | $25.12 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $45.71 Typical High $85.11 | Professional | None | $15.49 | $45.71 | $85.11 |
Network Health Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Network Health Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $39.81 | Professional | None | $15.49 | $20.42 | $39.81 |
Prevea360 Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $25.12 | Facility | None | $11.48 | $14.45 | $25.12 |
Prevea360 Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Quartz Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $53.70 | Professional | None | $12.88 | $25.70 | $53.70 |
Quartz Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.38 | Professional | None | $10.72 | $10.72 | $17.38 |
Security Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Security Health Setting Professional Modifier None Typical Low $30.90 Median $77.62 Typical High $104.71 | Professional | None | $30.90 | $77.62 | $104.71 |
United Setting Professional Modifier None Typical Low $14.13 Median $29.51 Typical High $56.23 | Professional | None | $14.13 | $29.51 | $56.23 |
9 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 Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $58.88 | Professional | 52 · Reduced service | $11.75 | $11.75 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $23.44 | Professional | 53 · Discontinued | $4.68 | $4.68 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $17.78 Typical High $87.10 | Professional | 54 · Surgery only | $17.78 | $17.78 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $17.38 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $11.75 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $11.75 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.63 Median $4.57 Typical High $5.50 | Professional | 80 · Assistant surgeon | $3.63 | $4.57 | $5.50 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.63 Median $4.57 Typical High $5.50 | Professional | 81 · Minimal assistant surgeon | $3.63 | $4.57 | $5.50 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.63 Median $4.57 Typical High $5.50 | Professional | 82 · Assistant surgeon, no resident | $3.63 | $4.57 | $5.50 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $3.16 Median $3.98 Typical High $4.79 | Professional | AS · PA/NP assist | $3.16 | $3.98 | $4.79 |
Where Wisconsin sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 2nd of 51
$30.20
AK $37.15DE $11.22
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.