How much rates vary
Facilitymedian $331 · 10th to 90th $186 to $4,266Professionalmedian $832 · 10th to 90th $275 to $2,399
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 $275.42 Typical High $275.42 | Facility | None | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $831.76 | Professional | None (both parts) | $275.42 | $275.42 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $1,174.90 Typical High $2,884.03 | Professional | None (both parts) | $288.40 | $1,174.90 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $812.83 Typical High $2,041.74 | Professional | 26 · Professional part | $204.17 | $812.83 | $2,041.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $346.74 Typical High $870.96 | Professional | TC · Technical part | $87.10 | $346.74 | $870.96 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $3,715.35 Typical High $5,011.87 | Facility | None | $186.21 | $3,715.35 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $2,884.03 | Facility | None | $186.21 | $331.13 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,047.13 Typical High $1,548.82 | Professional | None (both parts) | $371.54 | $1,047.13 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $776.25 Typical High $1,122.02 | Professional | 26 · Professional part | $257.04 | $776.25 | $1,122.02 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $109.65 | $331.13 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $354.81 | Facility | None | $186.21 | $186.21 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $630.96 Typical High $912.01 | Professional | None | $331.13 | $630.96 | $912.01 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $776.25 Typical High $1,513.56 | Professional | None (both parts) | $331.13 | $776.25 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $537.03 Typical High $1,047.13 | Professional | 26 · Professional part | $229.09 | $537.03 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $100.00 | $234.42 | $446.68 |
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 Facility Modifier 80 · Assistant surgeon Typical Low $524.81 Median $645.65 Typical High $812.83 | Facility | 80 · Assistant surgeon | $524.81 | $645.65 | $812.83 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $524.81 Median $645.65 Typical High $812.83 | Facility | 81 · Minimal assistant surgeon | $524.81 | $645.65 | $812.83 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $524.81 Median $645.65 Typical High $812.83 | Facility | 82 · Assistant surgeon, no resident | $524.81 | $645.65 | $812.83 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $457.09 Median $562.34 Typical High $724.44 | Facility | AS · PA/NP assist | $457.09 | $562.34 | $724.44 |
Where Wisconsin sits
The same service costs 7.9 times more in Wisconsin than in North Carolina. 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· 1st of 51
$794
WI $794NC $100
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.