How much rates vary
Facilitymedian $126 · 10th to 90th $95 to $331Professionalmedian $141 · 10th to 90th $95 to $427
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $371.54 | Professional | None | $95.50 | $95.50 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $371.54 | Professional | None | $104.71 | $128.82 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $489.78 | Facility | None | $288.40 | $323.59 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $275.42 | Professional | None | $104.71 | $104.71 | $275.42 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $218.78 | Facility | None | $100.00 | $120.23 | $218.78 |
DeanCare Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $275.42 | Professional | None | $151.36 | $213.80 | $275.42 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $128.82 | Facility | None | $100.00 | $114.82 | $128.82 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $691.83 | Professional | None | $123.03 | $229.09 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Network Health Setting Professional Modifier None Typical Low $81.28 Median $239.88 Typical High $239.88 | Professional | None | $81.28 | $239.88 | $239.88 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $218.78 | Facility | None | $100.00 | $120.23 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $316.23 | Professional | None | $125.89 | $239.88 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Security Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $380.19 | Professional | None | $141.25 | $204.17 | $380.19 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $398.11 | Professional | None | $109.65 | $158.49 | $398.11 |
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 $24.55 Median $34.67 Typical High $43.65 | Professional | 80 · Assistant surgeon | $24.55 | $34.67 | $43.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $34.67 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $24.55 | $34.67 | $43.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $34.67 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $34.67 | $43.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $30.20 Typical High $38.02 | Professional | AS · PA/NP assist | $21.38 | $30.20 | $38.02 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 12th of 51
$141
AK $269TX $95.50
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.