How much rates vary
Facilitymedian $200 · 10th to 90th $79 to $550Professionalmedian $195 · 10th to 90th $72 to $468
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 $102.33 Median $102.33 Typical High $199.53 | Facility | None | $102.33 | $102.33 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $707.95 | Professional | None (both parts) | $75.86 | $102.33 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $371.54 | Professional | 26 · Professional part | $35.48 | $50.12 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $63.10 | $257.04 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $31.62 | $131.83 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $128.82 Typical High $269.15 | Professional | TC · Technical part | $31.62 | $128.82 | $269.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $41.69 Median $42.66 Typical High $85.11 | Professional | None (both parts) | $41.69 | $42.66 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $208.93 Typical High $309.03 | Facility | None | $181.97 | $208.93 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $93.33 | $147.91 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $72.44 Typical High $186.21 | Professional | 26 · Professional part | $41.69 | $72.44 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $190.55 | Professional | TC · Technical part | $48.98 | $75.86 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $79.43 Median $501.19 Typical High $676.08 | Facility | None | $79.43 | $501.19 | $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 $141.25 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $141.25 | $169.82 | $190.55 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $338.84 | Facility | None | $63.10 | $95.50 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $77.62 | $199.53 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $102.33 Typical High $380.19 | Professional | 26 · Professional part | $38.02 | $102.33 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $100.00 Typical High $380.19 | Professional | TC · Technical part | $38.90 | $100.00 | $380.19 |
Network Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Facility | None | $97.72 | $97.72 | $134.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $91.20 | $177.83 | $295.12 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $131.83 | Facility | None | $63.10 | $79.43 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $316.23 | Professional | None | $74.13 | $169.82 | $316.23 |
Quartz Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $302.00 | Professional | None (both parts) | $97.72 | $97.72 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $47.86 | $147.91 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $48.98 | $147.91 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Security Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $223.87 | $407.38 | $524.81 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $141.25 | $331.13 | $512.86 |
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 $69.18 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $69.18 | $173.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $87.10 Typical High $190.55 | Professional | 26 · Professional part | $35.48 | $87.10 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $34.67 | $89.13 | $199.53 |
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 $50.12 Median $50.12 Typical High $354.81 | Professional | 52 · Reduced service | $50.12 | $50.12 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $141.25 | Professional | 53 · Discontinued | $20.42 | $20.42 | $141.25 |
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 4.7 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
$195
AK $257FL $54.95
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.