How much rates vary
Facilitymedian $72 · 10th to 90th $55 to $200Professionalmedian $71 · 10th to 90th $55 to $170
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 $54.95 Median $54.95 Typical High $57.54 | Facility | None | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | None | $54.95 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $177.83 | Professional | None | $61.66 | $64.57 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $288.40 | Facility | None | $169.82 | $194.98 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $89.13 | Professional | None | $67.61 | $79.43 | $89.13 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $125.89 | Facility | None | $60.26 | $72.44 | $125.89 |
DeanCare Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $162.18 | Professional | None | $91.20 | $114.82 | $162.18 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $407.38 | Facility | None | $60.26 | $72.44 | $407.38 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $851.14 Typical High $851.14 | Professional | None | $95.50 | $851.14 | $851.14 |
Network Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Network Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | None | $47.86 | $47.86 | $91.20 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $125.89 | Facility | None | $60.26 | $72.44 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $141.25 | Professional | None | $61.66 | $87.10 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $165.96 | Professional | None | $63.10 | $63.10 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $234.42 | Professional | None | $69.18 | $117.49 | $234.42 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $177.83 | Professional | None | $64.57 | $109.65 | $177.83 |
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 $14.45 Median $18.62 Typical High $26.30 | Professional | 80 · Assistant surgeon | $14.45 | $18.62 | $26.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $18.62 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $14.45 | $18.62 | $26.30 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $18.62 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $18.62 | $26.30 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.59 Median $16.22 Typical High $22.91 | Professional | AS · PA/NP assist | $12.59 | $16.22 | $22.91 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Oklahoma. 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· 16th of 51
$70.79
AK $123OK $47.86
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.