How much rates vary
Facilitymedian $339 · 10th to 90th $126 to $912Professionalmedian $331 · 10th to 90th $107 to $1,000
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 $389.05 Typical High $389.05 | Facility | None | $199.53 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $229.09 | $389.05 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $489.78 | Professional | 26 · Professional part | $38.90 | $61.66 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $93.33 | $275.42 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $109.65 Typical High $323.59 | Professional | 26 · Professional part | $39.81 | $109.65 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $162.18 Typical High $446.68 | Professional | TC · Technical part | $53.70 | $162.18 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $489.78 | Facility | None | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $380.19 | Professional | None (both parts) | $114.82 | $138.04 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $165.96 | Professional | 26 · Professional part | $46.77 | $58.88 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $79.43 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $812.83 Typical High $1,122.02 | Facility | None | $199.53 | $812.83 | $1,122.02 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $891.25 Typical High $1,122.02 | Facility | TC · Technical part | $724.44 | $891.25 | $1,122.02 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $144.54 | $251.19 | $251.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $85.11 | $104.71 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $616.60 | Facility | None | $120.23 | $208.93 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $707.95 Typical High $1,258.93 | Professional | None (both parts) | $158.49 | $707.95 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $131.83 Typical High $575.44 | Professional | 26 · Professional part | $45.71 | $131.83 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $602.56 Typical High $794.33 | Professional | TC · Technical part | $151.36 | $602.56 | $794.33 |
Network Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $177.83 | $363.08 | $446.68 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $79.43 | $104.71 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $269.15 | Facility | None | $120.23 | $208.93 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $457.09 | Professional | None | $114.82 | $218.78 | $457.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $138.04 | $138.04 | $169.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | TC · Technical part | $79.43 | $79.43 | $97.72 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $660.69 Typical High $1,122.02 | Professional | None (both parts) | $363.08 | $660.69 | $1,122.02 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $120.23 | $245.47 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $371.54 Typical High $1,148.15 | Professional | None (both parts) | $120.23 | $371.54 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $181.97 | Professional | 26 · Professional part | $41.69 | $60.26 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $309.03 Typical High $977.24 | Professional | TC · Technical part | $74.13 | $309.03 | $977.24 |
7 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 $117.49 Median $194.98 Typical High $489.78 | Professional | 52 · Reduced service | $117.49 | $194.98 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $79.43 Typical High $199.53 | Professional | 53 · Discontinued | $46.77 | $79.43 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $186.21 Typical High $316.23 | Professional | FX · Film X-ray | $154.88 | $186.21 | $316.23 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $114.82 Median $144.54 Typical High $181.97 | Facility | 80 · Assistant surgeon | $114.82 | $144.54 | $181.97 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $144.54 Typical High $181.97 | Facility | 81 · Minimal assistant surgeon | $114.82 | $144.54 | $181.97 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $144.54 Typical High $181.97 | Facility | 82 · Assistant surgeon, no resident | $114.82 | $144.54 | $181.97 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $102.33 Median $125.89 Typical High $158.49 | Facility | AS · PA/NP assist | $102.33 | $125.89 | $158.49 |
Where Wisconsin sits
The same service costs 3.6 times more in Nebraska 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· 3rd of 51
$331
NE $407NJ $112
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.