How much rates vary
Facilitymedian $1,148 · 10th to 90th $407 to $1,698Professionalmedian $1,445 · 10th to 90th $501 to $3,802
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 $660.69 Typical High $660.69 | Facility | None | $199.53 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $660.69 Typical High $4,466.84 | Professional | None (both parts) | $616.60 | $660.69 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $125.89 Typical High $1,000.00 | Professional | 26 · Professional part | $89.13 | $125.89 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $537.03 Typical High $660.69 | Professional | TC · Technical part | $501.19 | $537.03 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,819.70 Typical High $3,801.89 | Professional | None (both parts) | $436.52 | $1,819.70 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $331.13 Typical High $660.69 | Professional | 26 · Professional part | $79.43 | $331.13 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,479.11 Typical High $3,162.28 | Professional | TC · Technical part | $354.81 | $1,479.11 | $3,162.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $107.15 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,380.38 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $977.24 Typical High $2,511.89 | Professional | None (both parts) | $602.56 | $977.24 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $181.97 Typical High $467.74 | Professional | 26 · Professional part | $104.71 | $181.97 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $776.25 Typical High $2,089.30 | Professional | TC · Technical part | $489.78 | $776.25 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $1,862.09 | Facility | None | $524.81 | $1,348.96 | $1,862.09 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,445.44 Typical High $1,862.09 | Facility | TC · Technical part | $1,174.90 | $1,445.44 | $1,862.09 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $912.01 | $1,122.02 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $954.99 | Facility | None | $407.38 | $645.65 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,318.26 Typical High $4,466.84 | Professional | None (both parts) | $549.54 | $1,318.26 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $257.04 Typical High $1,348.96 | Professional | 26 · Professional part | $93.33 | $257.04 | $1,348.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,230.27 Typical High $3,162.28 | Professional | TC · Technical part | $446.68 | $1,230.27 | $3,162.28 |
Network Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,071.52 | Facility | None | $724.44 | $724.44 | $1,071.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,412.54 Typical High $2,041.74 | Professional | None (both parts) | $676.08 | $1,412.54 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $954.99 | Facility | None | $407.38 | $524.81 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,995.26 | Professional | None | $489.78 | $1,047.13 | $1,995.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $2,041.74 | Professional | None (both parts) | $630.96 | $630.96 | $2,041.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $371.54 | Professional | 26 · Professional part | $120.23 | $120.23 | $371.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $1,698.24 | Professional | TC · Technical part | $512.86 | $512.86 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,019.95 Typical High $3,890.45 | Professional | None (both parts) | $1,737.80 | $3,019.95 | $3,890.45 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $933.25 Median $2,344.23 Typical High $3,801.89 | Professional | None (both parts) | $933.25 | $2,344.23 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,318.26 Typical High $3,090.30 | Professional | None (both parts) | $512.86 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $223.87 Typical High $478.63 | Professional | 26 · Professional part | $89.13 | $223.87 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,071.52 Typical High $2,570.40 | Professional | TC · Technical part | $426.58 | $1,071.52 | $2,570.40 |
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 $331.13 Median $331.13 Typical High $2,238.72 | Professional | 52 · Reduced service | $331.13 | $331.13 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $912.01 | Professional | 53 · Discontinued | $131.83 | $131.83 | $912.01 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | 80 · Assistant surgeon | $190.55 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | 81 · Minimal assistant surgeon | $190.55 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | 82 · Assistant surgeon, no resident | $190.55 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $165.96 Median $204.17 Typical High $257.04 | Facility | AS · PA/NP assist | $165.96 | $204.17 | $257.04 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$1,380
AK $1,698TX $372
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.