How much rates vary
Facilitymedian $427 · 10th to 90th $95 to $3,548Professionalmedian $363 · 10th to 90th $83 to $912
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 $616.60 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $616.60 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $316.23 | Professional | 26 · Professional part | $38.02 | $38.02 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $676.08 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $66.07 | $275.42 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $23.99 | $97.72 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $41.69 | $173.78 | $363.08 |
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 $83.18 Median $107.15 Typical High $316.23 | Professional | None (both parts) | $83.18 | $107.15 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $123.03 | Professional | 26 · Professional part | $30.90 | $40.74 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $213.80 | Professional | TC · Technical part | $53.70 | $67.61 | $213.80 |
DeanCare Setting Facility Modifier None Typical Low $95.50 Median $3,235.94 Typical High $4,365.16 | Facility | None | $95.50 | $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 $85.11 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $85.11 | $158.49 | $186.21 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $63.10 | $69.18 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $144.54 Typical High $1,412.54 | Facility | None | $23.44 | $144.54 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $851.14 Typical High $1,513.56 | Professional | None (both parts) | $144.54 | $851.14 | $1,513.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $30.90 | $114.82 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $812.83 Typical High $1,445.44 | Professional | TC · Technical part | $154.88 | $812.83 | $1,445.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $239.88 | $239.88 | $257.04 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $42.66 | $100.00 |
Prevea360 Setting Facility Modifier None Typical Low $23.44 Median $95.50 Typical High $426.58 | Facility | None | $23.44 | $95.50 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $309.03 | Professional | None | $75.86 | $151.36 | $309.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $281.84 | Professional | None (both parts) | $97.72 | $97.72 | $281.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $36.31 | $87.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $61.66 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $48.98 Median $64.57 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $64.57 | $147.91 |
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 $91.20 Median $812.83 Typical High $1,862.09 | Professional | None (both parts) | $91.20 | $812.83 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $27.54 | $57.54 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $794.33 Typical High $1,862.09 | Professional | TC · Technical part | $60.26 | $794.33 | $1,862.09 |
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 $309.03 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $309.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $123.03 | $173.78 | $173.78 |
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 8.7 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· 16th of 51
$363
CO $661MI $75.86
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.