How much rates vary
Facilitymedian $1,318 · 10th to 90th $457 to $5,012Professionalmedian $1,514 · 10th to 90th $537 to $3,890
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 $741.31 Typical High $741.31 | Facility | None | $199.53 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $741.31 Typical High $9,549.93 | Professional | None (both parts) | $630.96 | $741.31 | $9,549.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $346.74 Typical High $2,818.38 | Professional | 26 · Professional part | $245.47 | $346.74 | $2,818.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $389.05 Typical High $512.86 | Professional | TC · Technical part | $346.74 | $389.05 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,905.46 Typical High $3,890.45 | Professional | None (both parts) | $457.09 | $1,905.46 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $912.01 Typical High $1,819.70 | Professional | 26 · Professional part | $218.78 | $912.01 | $1,819.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $977.24 Typical High $2,041.74 | Professional | TC · Technical part | $245.47 | $977.24 | $2,041.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $295.12 | $309.03 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,318.26 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,318.26 Typical High $2,754.23 | Professional | None (both parts) | $707.95 | $1,318.26 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $501.19 Typical High $1,288.25 | Professional | 26 · Professional part | $288.40 | $501.19 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $707.95 Typical High $1,445.44 | Professional | TC · Technical part | $371.54 | $707.95 | $1,445.44 |
DeanCare Setting Facility Modifier None Typical Low $575.44 Median $4,570.88 Typical High $6,165.95 | Facility | None | $575.44 | $4,570.88 | $6,165.95 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $3,890.45 Median $4,897.79 Typical High $6,165.95 | Facility | TC · Technical part | $3,890.45 | $4,897.79 | $6,165.95 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,230.27 Typical High $1,348.96 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $3,467.37 | Facility | None | $457.09 | $691.83 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,778.28 Typical High $7,413.10 | Professional | None (both parts) | $575.44 | $1,778.28 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $707.95 Typical High $1,698.24 | Professional | 26 · Professional part | $263.03 | $707.95 | $1,698.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,071.52 Typical High $6,165.95 | Professional | TC · Technical part | $302.00 | $1,071.52 | $6,165.95 |
Network Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $891.25 | Facility | None | $724.44 | $724.44 | $891.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,258.93 Typical High $2,187.76 | Professional | None (both parts) | $676.08 | $1,258.93 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $954.99 | Facility | None | $457.09 | $575.44 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $1,230.27 Typical High $2,398.83 | Professional | None | $537.03 | $1,230.27 | $2,398.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $707.95 Median $707.95 Typical High $2,137.96 | Professional | None (both parts) | $707.95 | $707.95 | $2,137.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $331.13 | $1,023.29 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $1,148.15 | Professional | TC · Technical part | $371.54 | $371.54 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,951.21 Typical High $3,801.89 | Professional | None (both parts) | $1,819.70 | $2,951.21 | $3,801.89 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,570.40 Typical High $3,715.35 | Professional | None (both parts) | $1,023.29 | $2,570.40 | $3,715.35 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,318.26 Typical High $2,884.03 | Professional | None (both parts) | $512.86 | $1,318.26 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $602.56 Typical High $1,318.26 | Professional | 26 · Professional part | $245.47 | $602.56 | $1,318.26 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $741.31 Typical High $1,584.89 | Professional | TC · Technical part | $263.03 | $741.31 | $1,584.89 |
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 $363.08 Median $363.08 Typical High $4,897.79 | Professional | 52 · Reduced service | $363.08 | $363.08 | $4,897.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $1,949.84 | Professional | 53 · Discontinued | $147.91 | $147.91 | $1,949.84 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $630.96 Median $776.25 Typical High $977.24 | Facility | 80 · Assistant surgeon | $630.96 | $776.25 | $977.24 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $630.96 Median $776.25 Typical High $977.24 | Facility | 81 · Minimal assistant surgeon | $630.96 | $776.25 | $977.24 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $630.96 Median $776.25 Typical High $977.24 | Facility | 82 · Assistant surgeon, no resident | $630.96 | $776.25 | $977.24 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $549.54 Median $676.08 Typical High $870.96 | Facility | AS · PA/NP assist | $549.54 | $676.08 | $870.96 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska than in Florida. 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
$1,514
AK $1,905FL $389
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.