How much rates vary
Facilitymedian $29 · 10th to 90th $22 to $98Professionalmedian $36 · 10th to 90th $25 to $95
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 $22.39 Median $22.39 Typical High $24.55 | Facility | None | $22.39 | $22.39 | $24.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $10.96 Typical High $12.30 | Facility | 52 · Reduced service | $10.96 | $10.96 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $35.48 | Professional | None | $22.39 | $24.55 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.30 Typical High $14.45 | Professional | 52 · Reduced service | $10.96 | $12.30 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $81.28 | Professional | None | $26.92 | $34.67 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $39.81 | Professional | None | $25.70 | $33.11 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $125.89 | Facility | None | $74.13 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $64.57 | Professional | None | $26.30 | $26.30 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $23.44 Median $28.84 Typical High $51.29 | Facility | None | $23.44 | $28.84 | $51.29 |
DeanCare Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $64.57 | Professional | None | $35.48 | $50.12 | $64.57 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $100.00 | Facility | None | $23.44 | $30.20 | $100.00 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $162.18 Typical High $177.83 | Professional | None | $33.88 | $162.18 | $177.83 |
Network Health Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $70.79 | Professional | None | $20.42 | $34.67 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $28.84 Typical High $51.29 | Facility | None | $23.44 | $28.84 | $51.29 |
Quartz Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $79.43 | Professional | None | $26.92 | $51.29 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | None | $26.30 | $26.30 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | None | $30.90 | $30.90 | $33.88 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $57.54 | Professional | None | $33.11 | $41.69 | $57.54 |
The Alliance Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $66.07 | Professional | None | $37.15 | $45.71 | $66.07 |
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 $27.54 Median $40.74 Typical High $72.44 | Professional | None | $27.54 | $40.74 | $72.44 |
4 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 Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $7.94 Typical High $10.23 | Professional | 80 · Assistant surgeon | $5.62 | $7.94 | $10.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $7.94 Typical High $10.23 | Professional | 81 · Minimal assistant surgeon | $5.62 | $7.94 | $10.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $7.94 Typical High $10.23 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $7.94 | $10.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $7.08 Typical High $8.91 | Professional | AS · PA/NP assist | $4.90 | $7.08 | $8.91 |
Where Wisconsin sits
The same service costs 3.0 times more in North Carolina 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· 11th of 51
$36.31
NC $72.44NY $23.99
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.