How much rates vary
Facilitymedian $692 · 10th to 90th $200 to $1,995Professionalmedian $631 · 10th to 90th $209 to $1,622
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
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 $63.10 Median $257.04 Typical High $537.03 | Professional | 26 · Professional part | $63.10 | $257.04 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $524.81 Typical High $1,096.48 | Professional | TC · Technical part | $128.82 | $524.81 | $1,096.48 |
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 $407.38 Median $1,479.11 Typical High $2,041.74 | Facility | None | $407.38 | $1,479.11 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $2,511.89 | Facility | None | $346.74 | $691.83 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $426.58 | $1,202.26 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $891.25 Typical High $1,548.82 | Professional | TC · Technical part | $426.58 | $891.25 | $1,548.82 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $691.83 Typical High $691.83 | Facility | None | $239.88 | $691.83 | $691.83 |
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $851.14 Typical High $1,778.28 | Professional | None (both parts) | $389.05 | $851.14 | $1,778.28 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $851.14 Typical High $1,778.28 | Professional | TC · Technical part | $371.54 | $851.14 | $1,778.28 |
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 $1,949.84 Median $2,454.71 Typical High $3,090.30 | Facility | 50 · Both sides | $1,949.84 | $2,454.71 | $3,090.30 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $208.93 Median $257.04 Typical High $331.13 | Facility | 80 · Assistant surgeon | $208.93 | $257.04 | $331.13 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $208.93 Median $257.04 Typical High $331.13 | Facility | 81 · Minimal assistant surgeon | $208.93 | $257.04 | $331.13 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $208.93 Median $257.04 Typical High $331.13 | Facility | 82 · Assistant surgeon, no resident | $208.93 | $257.04 | $331.13 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $181.97 Median $229.09 Typical High $288.40 | Facility | AS · PA/NP assist | $181.97 | $229.09 | $288.40 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Ohio. 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· 3rd of 51
$646
AK $813OH $195
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.