How much rates vary
Facilitymedian $191 · 10th to 90th $148 to $513Professionalmedian $229 · 10th to 90th $141 to $525
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $537.03 | Professional | None | $147.91 | $147.91 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $524.81 | Professional | None | $158.49 | $234.42 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $234.42 | Professional | None | $151.36 | $194.98 | $234.42 |
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 $141.25 Median $141.25 Typical High $416.87 | Professional | None | $141.25 | $141.25 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $338.84 | Facility | None | $151.36 | $186.21 | $338.84 |
DeanCare Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $416.87 | Professional | None | $234.42 | $331.13 | $416.87 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $331.13 | Facility | None | $154.88 | $186.21 | $331.13 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $1,047.13 | Professional | None | $186.21 | $316.23 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Network Health Setting Professional Modifier None Typical Low $123.03 Median $338.84 Typical High $354.81 | Professional | None | $123.03 | $338.84 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $338.84 | Facility | None | $151.36 | $186.21 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $501.19 | Professional | None | $194.98 | $371.54 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $389.05 Typical High $524.81 | Professional | None | $162.18 | $389.05 | $524.81 |
The Alliance Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $380.19 | Professional | None | $223.87 | $263.03 | $380.19 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $446.68 | Professional | None | $169.82 | $245.47 | $446.68 |
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 $52.48 Typical High $66.07 | Professional | 80 · Assistant surgeon | $37.15 | $52.48 | $66.07 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $52.48 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $37.15 | $52.48 | $66.07 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $52.48 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $52.48 | $66.07 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $45.71 Typical High $58.88 | Professional | AS · PA/NP assist | $32.36 | $45.71 | $58.88 |
Where Wisconsin sits
The same service costs 2.6 times more in North Dakota than in New York. 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· 11th of 51
$229
ND $295NY $115
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.