How much rates vary
Facilitymedian $129 · 10th to 90th $98 to $347Professionalmedian $151 · 10th to 90th $98 to $427
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $407.38 | Professional | None | $97.72 | $97.72 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $501.19 | Facility | None | $295.12 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | None | $109.65 | $109.65 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $229.09 | Facility | None | $100.00 | $125.89 | $229.09 |
DeanCare Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $288.40 | Professional | None | $162.18 | $223.87 | $288.40 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $229.09 | Facility | None | $100.00 | $125.89 | $229.09 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $741.31 | Professional | None | $134.90 | $234.42 | $741.31 |
Network Health Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $295.12 | Professional | None | $85.11 | $141.25 | $295.12 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $229.09 | Facility | None | $100.00 | $125.89 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $323.59 | Professional | None | $131.83 | $239.88 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | None | $154.88 | $213.80 | $234.42 |
United Setting Professional Modifier None Typical Low $117.49 Median $173.78 Typical High $323.59 | Professional | None | $117.49 | $173.78 | $323.59 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $204.17 | Professional | 52 · Reduced service | $48.98 | $48.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $81.28 | Professional | 53 · Discontinued | $19.50 | $19.50 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $61.66 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $40.74 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $40.74 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $36.31 Typical High $45.71 | Professional | 80 · Assistant surgeon | $25.70 | $36.31 | $45.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $36.31 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $25.70 | $36.31 | $45.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $36.31 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $36.31 | $45.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $31.62 Typical High $39.81 | Professional | AS · PA/NP assist | $22.39 | $31.62 | $39.81 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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
$151
AK $302NY $102
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.