How much rates vary
Facilitymedian $219 · 10th to 90th $162 to $562Professionalmedian $339 · 10th to 90th $155 to $813
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $707.95 | Professional | None | $162.18 | $162.18 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $691.83 | Professional | None | $194.98 | $380.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $812.83 | Facility | None | $478.63 | $549.54 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $467.74 | Professional | None | $154.88 | $154.88 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $371.54 | Facility | None | $169.82 | $204.17 | $371.54 |
DeanCare Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $489.78 | Professional | None | $229.09 | $363.08 | $489.78 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $371.54 | Facility | None | $169.82 | $204.17 | $371.54 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $1,202.26 | Professional | None | $257.04 | $524.81 | $1,202.26 |
Network Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Network Health Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $478.63 | Professional | None | $204.17 | $416.87 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $371.54 | Facility | None | $169.82 | $204.17 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $588.84 | Professional | None | $186.21 | $371.54 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $616.60 | Professional | None | $363.08 | $501.19 | $616.60 |
The Alliance Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $512.86 | Professional | None | $346.74 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $831.76 | Professional | None | $213.80 | $354.81 | $831.76 |
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 $37.15 Median $57.54 Typical High $79.43 | Professional | 80 · Assistant surgeon | $37.15 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $57.54 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $37.15 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $57.54 Typical High $79.43 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $51.29 Typical High $69.18 | Professional | AS · PA/NP assist | $32.36 | $51.29 | $69.18 |
Where Wisconsin sits
The same service costs 2.6 times more in Alaska than in Louisiana. 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
$331
AK $407LA $155
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.