How much rates vary
Facilitymedian $288 · 10th to 90th $200 to $603Professionalmedian $447 · 10th to 90th $200 to $1,318
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $288.40 Typical High $288.40 | Facility | None | $199.53 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $1,548.82 | Professional | None (both parts) | $194.98 | $288.40 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $870.96 | Professional | 26 · Professional part | $87.10 | $128.82 | $870.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $158.49 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $645.65 Typical High $1,513.56 | Professional | None (both parts) | $186.21 | $645.65 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $275.42 Typical High $676.08 | Professional | 26 · Professional part | $83.18 | $275.42 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $346.74 Typical High $831.76 | Professional | TC · Technical part | $104.71 | $346.74 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $870.96 | Facility | None | $512.86 | $588.84 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $218.78 | $288.40 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $346.74 | Professional | 26 · Professional part | $107.15 | $131.83 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $162.18 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $389.05 | Facility | None | $169.82 | $213.80 | $389.05 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $338.84 | $354.81 | $524.81 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $151.36 | $158.49 | $234.42 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $186.21 | $194.98 | $288.40 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $407.38 | Facility | None | $169.82 | $213.80 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $676.08 Typical High $1,230.27 | Professional | None (both parts) | $223.87 | $676.08 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $338.84 Typical High $575.44 | Professional | 26 · Professional part | $104.71 | $338.84 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $398.11 Typical High $707.95 | Professional | TC · Technical part | $120.23 | $398.11 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $436.52 | Facility | None | $295.12 | $295.12 | $436.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $263.03 | $398.11 | $707.95 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $323.59 | Professional | 26 · Professional part | $120.23 | $165.96 | $323.59 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $229.09 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $389.05 | Facility | None | $169.82 | $213.80 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $851.14 | Professional | None | $213.80 | $446.68 | $851.14 |
Quartz Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $275.42 | $275.42 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | 26 · Professional part | $123.03 | $123.03 | $295.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $151.36 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $549.54 | $1,202.26 | $1,548.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $501.19 | Professional | 26 · Professional part | $223.87 | $295.12 | $501.19 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $724.44 | Professional | TC · Technical part | $275.42 | $354.81 | $724.44 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,023.29 Typical High $1,479.11 | Professional | None (both parts) | $501.19 | $1,023.29 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $933.25 | Professional | None (both parts) | $199.53 | $380.19 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $177.83 Typical High $426.58 | Professional | 26 · Professional part | $91.20 | $177.83 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $512.86 | Professional | TC · Technical part | $107.15 | $199.53 | $512.86 |
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 $144.54 Median $144.54 Typical High $794.33 | Professional | 52 · Reduced service | $144.54 | $144.54 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $316.23 | Professional | 53 · Discontinued | $57.54 | $57.54 | $316.23 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $57.54 Typical High $83.18 | Professional | 80 · Assistant surgeon | $53.70 | $57.54 | $83.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $57.54 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $53.70 | $57.54 | $83.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $57.54 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $57.54 | $83.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | AS · PA/NP assist | $47.86 | $50.12 | $72.44 |
Where Wisconsin sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 3rd of 51
$447
AK $589UT $102
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.