How much rates vary
Facilitymedian $155 · 10th to 90th $115 to $501Professionalmedian $214 · 10th to 90th $126 to $513
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 $114.82 Median $114.82 Typical High $147.91 | Facility | None | $114.82 | $114.82 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $186.21 | Professional | None | $114.82 | $147.91 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $512.86 | Professional | None | $154.88 | $229.09 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $758.58 | Facility | None | $446.68 | $501.19 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $331.13 | Professional | None | $162.18 | $162.18 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $263.03 | Facility | None | $120.23 | $154.88 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $346.74 | Professional | None | $190.55 | $295.12 | $346.74 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $331.13 | Facility | None | $120.23 | $154.88 | $331.13 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $831.76 Typical High $1,047.13 | Professional | None | $165.96 | $831.76 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Network Health Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $331.13 | Professional | None | $147.91 | $251.19 | $331.13 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $263.03 | Facility | None | $120.23 | $154.88 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $269.15 Typical High $478.63 | Professional | None | $151.36 | $269.15 | $478.63 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None | $162.18 | $162.18 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | None | $223.87 | $223.87 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $501.19 | Professional | None | $213.80 | $380.19 | $501.19 |
The Alliance Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $338.84 | Professional | None | $147.91 | $234.42 | $338.84 |
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 $128.82 Median $208.93 Typical High $389.05 | Professional | None | $128.82 | $208.93 | $389.05 |
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 $30.90 Median $46.77 Typical High $56.23 | Professional | 80 · Assistant surgeon | $30.90 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $46.77 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $30.90 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $46.77 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $41.69 Typical High $48.98 | Professional | AS · PA/NP assist | $26.92 | $41.69 | $48.98 |
Where Wisconsin sits
The same service costs 2.8 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· 6th of 51
$214
AK $339KY $123
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.