How much rates vary
Facilitymedian $33 · 10th to 90th $26 to $100Professionalmedian $32 · 10th to 90th $25 to $105
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 $26.30 Median $26.30 Typical High $28.84 | Facility | None | $26.30 | $26.30 | $28.84 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $14.45 | Facility | 52 · Reduced service | $13.18 | $13.18 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | None | $26.30 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.18 Typical High $14.45 | Professional | 52 · Reduced service | $13.18 | $13.18 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $77.62 | Professional | None | $21.88 | $25.12 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | None | $38.90 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $44.67 | Professional | None | $33.11 | $37.15 | $44.67 |
DeanCare Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $61.66 | Facility | None | $25.70 | $33.11 | $61.66 |
DeanCare Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $79.43 | Professional | None | $44.67 | $57.54 | $79.43 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $234.42 | Facility | None | $25.70 | $33.11 | $234.42 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $154.88 Typical High $165.96 | Professional | None | $67.61 | $154.88 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Network Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | None | $24.55 | $24.55 | $37.15 |
Prevea360 Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $61.66 | Facility | None | $25.70 | $33.11 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $70.79 | Professional | None | $29.51 | $43.65 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $60.26 | Professional | None | $27.54 | $27.54 | $60.26 |
Security Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | None | $27.54 | $27.54 | $31.62 |
Security Health Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $87.10 | Professional | None | $33.11 | $42.66 | $87.10 |
The Alliance Setting Professional Modifier None Typical Low $32.36 Median $61.66 Typical High $85.11 | Professional | None | $32.36 | $61.66 | $85.11 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $97.72 | Professional | None | $26.30 | $46.77 | $97.72 |
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 $7.24 Median $9.33 Typical High $12.88 | Professional | 80 · Assistant surgeon | $7.24 | $9.33 | $12.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.24 Median $9.33 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $7.24 | $9.33 | $12.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.24 Median $9.33 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $7.24 | $9.33 | $12.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $8.13 Typical High $11.22 | Professional | AS · PA/NP assist | $6.31 | $8.13 | $11.22 |
Where Wisconsin sits
The same service costs 2.7 times more in North Dakota 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· 15th of 51
$31.62
ND $52.48KY $19.50
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.