How much rates vary
Facilitymedian $1,288 · 10th to 90th $55 to $3,802Professionalmedian $389 · 10th to 90th $141 to $692
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 $141.25 Median $1,905.46 Typical High $14,454.40 | Facility | None | $141.25 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $933.25 | Professional | None (both parts) | $141.25 | $141.25 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $776.25 | Professional | 26 · Professional part | $123.03 | $123.03 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | TC · Technical part | $16.60 | $16.60 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $416.87 Typical High $776.25 | Professional | None (both parts) | $151.36 | $416.87 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $380.19 Typical High $691.83 | Professional | 26 · Professional part | $134.90 | $380.19 | $691.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $17.78 | $44.67 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $50.12 Typical High $426.58 | Facility | None | $23.99 | $50.12 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $165.96 | $263.03 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $239.88 Typical High $602.56 | Professional | 26 · Professional part | $147.91 | $239.88 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.11 Typical High $64.57 | Professional | TC · Technical part | $19.95 | $33.11 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $2,818.38 Typical High $5,128.61 | Facility | None | $134.90 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $218.78 | $323.59 | $398.11 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $954.99 Typical High $1,778.28 | Facility | None | $154.88 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $141.25 | $398.11 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $354.81 Typical High $812.83 | Professional | 26 · Professional part | $128.82 | $354.81 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $13.49 | $35.48 | $72.44 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $177.83 | $309.03 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $245.47 | Facility | None | $112.20 | $144.54 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $524.81 | Professional | None | $138.04 | $295.12 | $524.81 |
Quartz Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $54.95 | Facility | None | $23.99 | $31.62 | $54.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $165.96 | $165.96 | $389.05 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $147.91 | $363.08 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $19.95 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $371.54 | $549.54 | $630.96 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $123.03 | $346.74 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $323.59 Typical High $562.34 | Professional | 26 · Professional part | $109.65 | $323.59 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $13.49 | $34.67 | $58.88 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $457.09 | Professional | 52 · Reduced service | $69.18 | $69.18 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $186.21 | Professional | 53 · Discontinued | $28.18 | $28.18 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $691.83 | Professional | 54 · Surgery only | $104.71 | $104.71 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $138.04 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $93.33 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $93.33 |
Where Wisconsin sits
The same service costs 4.7 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· 2nd of 51
$447
AK $490AL $105
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.