How much rates vary
Facilitymedian $234 · 10th to 90th $66 to $1,549Professionalmedian $245 · 10th to 90th $54 to $955
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 $380.19 Typical High $380.19 | Facility | None | $199.53 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $380.19 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $208.93 | Professional | 26 · Professional part | $21.38 | $21.38 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $323.59 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $46.77 | $190.55 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $13.80 | $56.23 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $32.36 | $138.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $257.04 | Facility | None | $151.36 | $173.78 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $223.87 | Professional | None (both parts) | $57.54 | $75.86 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $67.61 | Professional | 26 · Professional part | $16.98 | $22.91 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $165.96 | Professional | TC · Technical part | $41.69 | $53.70 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $66.07 Median $1,380.38 Typical High $1,905.46 | Facility | None | $66.07 | $1,380.38 | $1,905.46 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $1,905.46 | Facility | TC · Technical part | $1,202.26 | $1,479.11 | $1,905.46 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $48.98 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $48.98 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $36.31 | $39.81 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $102.33 Typical High $616.60 | Facility | None | $13.18 | $102.33 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $851.14 Typical High $1,288.25 | Professional | None (both parts) | $104.71 | $851.14 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $17.78 | $64.57 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $954.99 Typical High $1,258.93 | Professional | TC · Technical part | $117.49 | $954.99 | $1,258.93 |
Network Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $181.97 | $181.97 | $199.53 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $57.54 | Professional | 26 · Professional part | $20.42 | $23.99 | $57.54 |
Prevea360 Setting Facility Modifier None Typical Low $13.18 Median $66.07 Typical High $199.53 | Facility | None | $13.18 | $66.07 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $218.78 | Professional | None | $53.70 | $107.15 | $218.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $69.18 | $69.18 | $165.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $20.42 | $50.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $48.98 | $114.82 |
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 (both parts) Typical Low $295.12 Median $346.74 Typical High $1,513.56 | Professional | None (both parts) | $295.12 | $346.74 | $1,513.56 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $37.15 | $85.11 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $63.10 | $489.78 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $32.36 Typical High $64.57 | Professional | 26 · Professional part | $15.49 | $32.36 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $467.74 Typical High $977.24 | Professional | TC · Technical part | $45.71 | $467.74 | $977.24 |
6 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 $190.55 Median $190.55 Typical High $288.40 | Professional | 52 · Reduced service | $190.55 | $190.55 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | 53 · Discontinued | $75.86 | $75.86 | $114.82 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 80 · Assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 81 · Minimal assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 82 · Assistant surgeon, no resident | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $169.82 Median $208.93 Typical High $263.03 | Facility | AS · PA/NP assist | $169.82 | $208.93 | $263.03 |
Where Wisconsin sits
The same service costs 6.6 times more in Colorado 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· 8th of 51
$245
CO $316MI $47.86
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.