How much rates vary
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $281.84 | Facility | None | $165.96 | $186.21 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $85.11 | Professional | None | $44.67 | $69.18 | $85.11 |
DeanCare Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | None | $75.86 | $117.49 | $138.04 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $275.42 | Professional | None | $87.10 | $87.10 | $275.42 |
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 $12.30 Median $18.62 Typical High $21.88 | Professional | 80 · Assistant surgeon | $12.30 | $18.62 | $21.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $18.62 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $12.30 | $18.62 | $21.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $18.62 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $18.62 | $21.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $16.22 Typical High $19.05 | Professional | AS · PA/NP assist | $10.72 | $16.22 | $19.05 |
Where Wisconsin sits
The same service costs 9.1 times more in California than in South Carolina. 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· 10th of 40
$69.18
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.