How much rates vary
Facilitymedian $155 · 10th to 90th $115 to $398Professionalmedian $229 · 10th to 90th $110 to $562
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $691.83 | Professional | None | $114.82 | $114.82 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $467.74 | Professional | None | $131.83 | $251.19 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $575.44 | Facility | None | $338.84 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $323.59 | Professional | None | $109.65 | $109.65 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $263.03 | Facility | None | $120.23 | $144.54 | $263.03 |
DeanCare Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $346.74 | Professional | None | $154.88 | $257.04 | $346.74 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $263.03 | Facility | None | $120.23 | $144.54 | $263.03 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $831.76 | Professional | None | $173.78 | $354.81 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Network Health Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $331.13 | Professional | None | $144.54 | $281.84 | $331.13 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $263.03 | Facility | None | $120.23 | $144.54 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $389.05 | Professional | None | $128.82 | $257.04 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $436.52 | Professional | None | $245.47 | $338.84 | $436.52 |
The Alliance Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $354.81 | Professional | None | $245.47 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $562.34 | Professional | None | $144.54 | $239.88 | $562.34 |
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 $25.12 Median $40.74 Typical High $54.95 | Professional | 80 · Assistant surgeon | $25.12 | $40.74 | $54.95 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $40.74 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $25.12 | $40.74 | $54.95 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $40.74 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $40.74 | $54.95 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $35.48 Typical High $47.86 | Professional | AS · PA/NP assist | $21.88 | $35.48 | $47.86 |
Where Wisconsin sits
The same service costs 2.6 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· 5th of 51
$229
AK $288TX $110
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.