How much rates vary
Facilitymedian $2,512 · 10th to 90th $200 to $4,898Professionalmedian $1,349 · 10th to 90th $316 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 $1,258.93 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $1,258.93 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $354.81 | Professional | 26 · Professional part | $77.62 | $77.62 | $354.81 |
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 $245.47 Median $1,023.29 Typical High $2,187.76 | Professional | None (both parts) | $245.47 | $1,023.29 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $204.17 Typical High $416.87 | Professional | 26 · Professional part | $50.12 | $204.17 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $812.83 Typical High $1,737.80 | Professional | TC · Technical part | $194.98 | $812.83 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,412.54 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $1,659.59 | Professional | None (both parts) | $331.13 | $398.11 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $85.11 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $1,445.44 | Professional | TC · Technical part | $263.03 | $316.23 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $537.03 Median $3,235.94 Typical High $4,365.16 | Facility | None | $537.03 | $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 $186.21 Median $602.56 Typical High $1,023.29 | Professional | None (both parts) | $186.21 | $602.56 | $1,023.29 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $128.82 | $144.54 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $794.33 Typical High $8,128.31 | Facility | None | $47.86 | $794.33 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $4,897.79 Typical High $11,220.18 | Professional | None (both parts) | $512.86 | $4,897.79 | $11,220.18 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $239.88 Typical High $501.19 | Professional | 26 · Professional part | $66.07 | $239.88 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $4,786.30 Typical High $10,964.78 | Professional | TC · Technical part | $602.56 | $4,786.30 | $10,964.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $977.24 | Professional | None (both parts) | $338.84 | $338.84 | $977.24 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $93.33 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $47.86 Median $537.03 Typical High $2,511.89 | Facility | None | $47.86 | $537.03 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $562.34 Typical High $1,230.27 | Professional | None | $281.84 | $562.34 | $1,230.27 |
Quartz Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $363.08 | $363.08 | $1,047.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $74.13 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | TC · Technical part | $288.40 | $288.40 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,818.38 Typical High $2,951.21 | Professional | None (both parts) | $2,089.30 | $2,818.38 | $2,951.21 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $323.59 | Professional | 26 · Professional part | $109.65 | $144.54 | $323.59 |
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 $354.81 Median $4,897.79 Typical High $11,748.98 | Professional | None (both parts) | $354.81 | $4,897.79 | $11,748.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $123.03 Typical High $245.47 | Professional | 26 · Professional part | $60.26 | $123.03 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $4,786.30 Typical High $11,748.98 | Professional | TC · Technical part | $295.12 | $4,786.30 | $11,748.98 |
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 $630.96 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $630.96 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $251.19 | $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· 19th of 51
$1,380
CO $3,890NJ $257
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.