How much rates vary
Facilitymedian $427 · 10th to 90th $93 to $3,548Professionalmedian $309 · 10th to 90th $74 to $1,318
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 $851.14 Typical High $851.14 | Facility | None | $199.53 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $489.78 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $208.93 | Professional | 26 · Professional part | $32.36 | $32.36 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $831.76 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $52.48 | $218.78 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $21.38 | $85.11 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $128.82 Typical High $275.42 | Professional | TC · Technical part | $30.90 | $128.82 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $363.08 | Facility | None | $213.80 | $245.47 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $288.40 | Professional | None (both parts) | $75.86 | $87.10 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $109.65 | Professional | 26 · Professional part | $26.92 | $35.48 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $208.93 | Professional | TC · Technical part | $45.71 | $53.70 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $93.33 Median $3,235.94 Typical High $4,365.16 | Facility | None | $93.33 | $3,235.94 | $4,365.16 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $2,818.38 Median $3,467.37 Typical High $4,365.16 | Facility | TC · Technical part | $2,818.38 | $3,467.37 | $4,365.16 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $75.86 | $125.89 | $181.97 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $54.95 | $60.26 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $144.54 Typical High $1,412.54 | Facility | None | $19.95 | $144.54 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,318.26 Typical High $2,089.30 | Professional | None (both parts) | $144.54 | $1,318.26 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $27.54 | $100.00 | $138.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $1,258.93 Typical High $1,995.26 | Professional | TC · Technical part | $158.49 | $1,258.93 | $1,995.26 |
Network Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $204.17 | $204.17 | $229.09 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $38.02 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $19.95 Median $93.33 Typical High $426.58 | Facility | None | $19.95 | $93.33 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $245.47 | Professional | None | $60.26 | $120.23 | $245.47 |
Quartz Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | None (both parts) | $75.86 | $75.86 | $186.21 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $77.62 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $109.65 | Professional | TC · Technical part | $45.71 | $45.71 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Security Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $1,584.89 | Professional | None (both parts) | $416.87 | $489.78 | $1,584.89 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $57.54 | $131.83 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $977.24 Typical High $2,137.96 | Professional | None (both parts) | $89.13 | $977.24 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $25.12 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $912.01 Typical High $1,995.26 | Professional | TC · Technical part | $63.10 | $912.01 | $1,995.26 |
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 $245.47 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $245.47 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $97.72 | $169.82 | $169.82 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $446.68 Median $549.54 Typical High $707.95 | Facility | 80 · Assistant surgeon | $446.68 | $549.54 | $707.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $446.68 Median $549.54 Typical High $707.95 | Facility | 81 · Minimal assistant surgeon | $446.68 | $549.54 | $707.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $446.68 Median $549.54 Typical High $707.95 | Facility | 82 · Assistant surgeon, no resident | $446.68 | $549.54 | $707.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $389.05 Median $489.78 Typical High $616.60 | Facility | AS · PA/NP assist | $389.05 | $489.78 | $616.60 |
Where Wisconsin sits
The same service costs 11.2 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· 20th of 51
$309
CO $661MI $58.88
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.