How much rates vary
Facilitymedian $389 · 10th to 90th $200 to $955Professionalmedian $501 · 10th to 90th $200 to $1,549
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 $199.53 Median $371.54 Typical High $371.54 | Facility | None | $199.53 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $776.25 Typical High $1,659.59 | Professional | None (both parts) | $194.98 | $776.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $229.09 Typical High $489.78 | Professional | 26 · Professional part | $57.54 | $229.09 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $549.54 Typical High $1,148.15 | Professional | TC · Technical part | $134.90 | $549.54 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $269.15 | $288.40 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $724.44 Typical High $977.24 | Facility | None | $239.88 | $724.44 | $977.24 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $2,511.89 | Facility | None | $223.87 | $389.05 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $588.84 Typical High $1,288.25 | Professional | None (both parts) | $204.17 | $588.84 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $588.84 Typical High $912.01 | Professional | TC · Technical part | $204.17 | $588.84 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $389.05 | Facility | None | $190.55 | $389.05 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $616.60 | Professional | None | $223.87 | $416.87 | $616.60 |
Quartz Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $269.15 | $288.40 | $338.84 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $190.55 | $407.38 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $144.54 | $398.11 | $851.14 |
5 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 Facility Modifier 50 · Both sides Typical Low $954.99 Median $1,174.90 Typical High $1,479.11 | Facility | 50 · Both sides | $954.99 | $1,174.90 | $1,479.11 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $102.33 Median $125.89 Typical High $158.49 | Facility | 80 · Assistant surgeon | $102.33 | $125.89 | $158.49 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $125.89 Typical High $158.49 | Facility | 81 · Minimal assistant surgeon | $102.33 | $125.89 | $158.49 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $125.89 Typical High $158.49 | Facility | 82 · Assistant surgeon, no resident | $102.33 | $125.89 | $158.49 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $89.13 Median $109.65 Typical High $138.04 | Facility | AS · PA/NP assist | $89.13 | $109.65 | $138.04 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Michigan. 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· 2nd of 51
$501
AK $813MI $174
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.