How much rates vary
Facilitymedian $1,738 · 10th to 90th $200 to $4,898Professionalmedian $1,318 · 10th to 90th $288 to $4,898
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 $4,897.79 Typical High $4,897.79 | Facility | None | $199.53 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $2,290.87 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $489.78 | Professional | 26 · Professional part | $57.54 | $57.54 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3,388.44 Median $4,897.79 Typical High $4,897.79 | Professional | TC · Technical part | $3,388.44 | $4,897.79 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,000.00 Typical High $1,995.26 | Professional | None (both parts) | $239.88 | $1,000.00 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $151.36 Typical High $309.03 | Professional | 26 · Professional part | $37.15 | $151.36 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $851.14 Typical High $1,659.59 | Professional | TC · Technical part | $204.17 | $851.14 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,412.54 | Facility | None | $831.76 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $1,202.26 | Professional | None (both parts) | $309.03 | $389.05 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $186.21 | Professional | 26 · Professional part | $46.77 | $63.10 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $1,047.13 | Professional | TC · Technical part | $263.03 | $331.13 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $3,235.94 Typical High $4,365.16 | Facility | None | $363.08 | $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 $128.82 Median $588.84 Typical High $691.83 | Professional | None (both parts) | $128.82 | $588.84 | $691.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $97.72 | $107.15 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $537.03 Typical High $8,128.31 | Facility | None | $36.31 | $537.03 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $4,786.30 Typical High $5,370.32 | Professional | None (both parts) | $478.63 | $4,786.30 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $173.78 Typical High $457.09 | Professional | 26 · Professional part | $47.86 | $173.78 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $4,786.30 Typical High $5,128.61 | Professional | TC · Technical part | $588.84 | $4,786.30 | $5,128.61 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $933.25 | Professional | None (both parts) | $288.40 | $288.40 | $933.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $64.57 | $154.88 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $363.08 Typical High $2,511.89 | Facility | None | $36.31 | $363.08 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $562.34 Typical High $1,148.15 | Professional | None | $281.84 | $562.34 | $1,148.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $1,023.29 | Professional | None (both parts) | $354.81 | $354.81 | $1,023.29 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $56.23 | $134.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $870.96 | Professional | TC · Technical part | $302.00 | $302.00 | $870.96 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,862.09 Typical High $1,995.26 | Professional | None (both parts) | $1,445.44 | $1,862.09 | $1,995.26 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $89.13 | $151.36 | $229.09 |
United Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $3,548.13 Typical High $6,606.93 | Professional | None (both parts) | $338.84 | $3,548.13 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $42.66 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $3,235.94 Typical High $6,456.54 | Professional | TC · Technical part | $295.12 | $3,235.94 | $6,456.54 |
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 $1,148.15 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,148.15 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $457.09 | $977.24 | $977.24 |
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 15.1 times more in Colorado than in New Jersey. 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· 15th of 51
$1,318
CO $3,715NJ $245
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.