How much rates vary
Facilitymedian $55 · 10th to 90th $38 to $191Professionalmedian $62 · 10th to 90th $42 to $195
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 $38.02 Median $38.02 Typical High $54.95 | Facility | None | $38.02 | $38.02 | $54.95 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $27.54 | Facility | 52 · Reduced service | $19.05 | $19.05 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $54.95 | Professional | None | $38.02 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $19.05 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $173.78 | Professional | None | $42.66 | $60.26 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $288.40 | Facility | None | $169.82 | $190.55 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $87.10 | Professional | None | $47.86 | $70.79 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $87.10 | Facility | None | $45.71 | $58.88 | $87.10 |
DeanCare Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $158.49 | Professional | None | $66.07 | $97.72 | $158.49 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $87.10 | Facility | None | $45.71 | $58.88 | $87.10 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $275.42 Typical High $389.05 | Professional | None | $93.33 | $275.42 | $389.05 |
Network Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $79.43 | Professional | None | $46.77 | $46.77 | $79.43 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $87.10 | Facility | None | $45.71 | $58.88 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $138.04 | Professional | None | $48.98 | $85.11 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | None | $61.66 | $61.66 | $114.82 |
Security Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | None | $52.48 | $52.48 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $128.82 | Professional | None | $66.07 | $91.20 | $128.82 |
United Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $208.93 | Professional | None | $57.54 | $102.33 | $208.93 |
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 $10.72 Median $15.49 Typical High $25.12 | Professional | 80 · Assistant surgeon | $10.72 | $15.49 | $25.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $15.49 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $10.72 | $15.49 | $25.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $15.49 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $15.49 | $25.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $13.80 Typical High $21.88 | Professional | AS · PA/NP assist | $9.33 | $13.80 | $21.88 |
Where Wisconsin sits
The same service costs 2.5 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· 19th of 51
$61.66
AK $107LA $42.66
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.