How much rates vary
Facilitymedian $65 · 10th to 90th $56 to $191Professionalmedian $87 · 10th to 90th $56 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 $56.23 Median $56.23 Typical High $60.26 | Facility | None | $56.23 | $56.23 | $60.26 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $30.20 | Facility | 52 · Reduced service | $28.18 | $28.18 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $64.57 | Professional | None | $56.23 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $28.18 | $30.20 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $181.97 | Professional | None | $60.26 | $102.33 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $281.84 | Facility | None | $165.96 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | None | $60.26 | $60.26 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $120.23 | Facility | None | $57.54 | $64.57 | $120.23 |
DeanCare Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $147.91 | Professional | None | $83.18 | $114.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $120.23 | Facility | None | $57.54 | $64.57 | $120.23 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $380.19 Typical High $407.38 | Professional | None | $77.62 | $380.19 | $407.38 |
Network Health Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $165.96 | Professional | None | $46.77 | $79.43 | $165.96 |
Prevea360 Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $120.23 | Facility | None | $57.54 | $64.57 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $169.82 | Professional | None | $60.26 | $114.82 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | None | $102.33 | $102.33 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $194.98 | Professional | None | $60.26 | $107.15 | $194.98 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $162.18 | Professional | None | $63.10 | $91.20 | $162.18 |
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 $13.18 Median $18.62 Typical High $23.99 | Professional | 80 · Assistant surgeon | $13.18 | $18.62 | $23.99 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $18.62 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $13.18 | $18.62 | $23.99 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $18.62 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $18.62 | $23.99 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $16.22 Typical High $20.89 | Professional | AS · PA/NP assist | $11.48 | $16.22 | $20.89 |
Where Wisconsin sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$87.10
AK $155AL $54.95
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.