How much rates vary
Facilitymedian $479 · 10th to 90th $251 to $832Professionalmedian $813 · 10th to 90th $269 to $2,042
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 $407.38 Typical High $407.38 | Facility | None | $199.53 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $1,905.46 | Professional | None (both parts) | $281.84 | $407.38 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $426.58 | Professional | 26 · Professional part | $39.81 | $57.54 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $257.04 | $1,071.52 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $151.36 Typical High $302.00 | Professional | 26 · Professional part | $36.31 | $151.36 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $912.01 Typical High $1,862.09 | Professional | TC · Technical part | $223.87 | $912.01 | $1,862.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $48.98 | $275.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Facility | None | $741.31 | $831.76 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $588.84 Typical High $1,513.56 | Professional | None (both parts) | $309.03 | $588.84 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $213.80 | Professional | 26 · Professional part | $46.77 | $83.18 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $501.19 Typical High $1,318.26 | Professional | TC · Technical part | $263.03 | $501.19 | $1,318.26 |
DeanCare Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $676.08 | Facility | None | $316.23 | $512.86 | $676.08 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $537.03 Typical High $676.08 | Facility | TC · Technical part | $436.52 | $537.03 | $676.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $676.08 Typical High $758.58 | Professional | None (both parts) | $562.34 | $676.08 | $758.58 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $524.81 | Facility | None | $251.19 | $338.84 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $724.44 Typical High $2,398.83 | Professional | None (both parts) | $281.84 | $724.44 | $2,398.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $114.82 Typical High $724.44 | Professional | 26 · Professional part | $42.66 | $114.82 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $630.96 Typical High $1,659.59 | Professional | TC · Technical part | $245.47 | $630.96 | $1,659.59 |
Network Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Facility | None | $363.08 | $363.08 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $1,230.27 | Professional | None (both parts) | $389.05 | $489.78 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $524.81 | Facility | None | $251.19 | $316.23 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,202.26 | Professional | None | $302.00 | $630.96 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $870.96 | Professional | None (both parts) | $389.05 | $389.05 | $870.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $54.95 | $165.96 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $331.13 | $331.13 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,659.59 Typical High $2,238.72 | Professional | None (both parts) | $912.01 | $1,659.59 | $2,238.72 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,096.48 Typical High $2,137.96 | Professional | None (both parts) | $562.34 | $1,096.48 | $2,137.96 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $676.08 Typical High $1,621.81 | Professional | None (both parts) | $257.04 | $676.08 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $39.81 | $100.00 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $630.96 Typical High $1,412.54 | Professional | TC · Technical part | $223.87 | $630.96 | $1,412.54 |
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 $199.53 Median $199.53 Typical High $954.99 | Professional | 52 · Reduced service | $199.53 | $199.53 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $389.05 | Professional | 53 · Discontinued | $81.28 | $81.28 | $389.05 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 80 · Assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 81 · Minimal assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 82 · Assistant surgeon, no resident | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $60.26 Median $75.86 Typical High $95.50 | Facility | AS · PA/NP assist | $60.26 | $75.86 | $95.50 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 2nd of 51
$759
AK $977KY $224
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.