How much rates vary
Facilitymedian $407 · 10th to 90th $178 to $661Professionalmedian $437 · 10th to 90th $155 to $1,148
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 $229.09 Typical High $229.09 | Facility | None | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $2,089.30 | Professional | None (both parts) | $229.09 | $229.09 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $1,348.96 | Professional | 26 · Professional part | $112.20 | $112.20 | $1,348.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $141.25 | $575.44 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $295.12 Typical High $602.56 | Professional | 26 · Professional part | $70.79 | $295.12 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $70.79 | $288.40 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $851.14 | Professional | None (both parts) | $177.83 | $331.13 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $162.18 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $162.18 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $165.96 Typical High $426.58 | Professional | TC · Technical part | $87.10 | $165.96 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $489.78 Typical High $660.69 | Facility | None | $177.83 | $489.78 | $660.69 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $524.81 Typical High $660.69 | Facility | TC · Technical part | $416.87 | $524.81 | $660.69 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $316.23 | $380.19 | $416.87 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $933.25 | Facility | None | $141.25 | $213.80 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $398.11 Typical High $912.01 | Professional | None (both parts) | $173.78 | $398.11 | $912.01 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $213.80 Typical High $457.09 | Professional | 26 · Professional part | $89.13 | $213.80 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $87.10 | $208.93 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $204.17 | $389.05 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $295.12 | Facility | None | $141.25 | $177.83 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $676.08 | Professional | None | $165.96 | $354.81 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $660.69 | Professional | None (both parts) | $218.78 | $218.78 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $331.13 | Professional | 26 · Professional part | $107.15 | $107.15 | $331.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $109.65 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $912.01 Typical High $1,258.93 | Professional | None (both parts) | $489.78 | $912.01 | $1,258.93 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $467.74 Typical High $549.54 | Professional | 26 · Professional part | $389.05 | $467.74 | $549.54 |
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 $154.88 Median $398.11 Typical High $891.25 | Professional | None (both parts) | $154.88 | $398.11 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $79.43 | $199.53 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $75.86 | $194.98 | $457.09 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | 80 · Assistant surgeon | $67.61 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | 81 · Minimal assistant surgeon | $67.61 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | 82 · Assistant surgeon, no resident | $67.61 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $58.88 Median $72.44 Typical High $93.33 | Facility | AS · PA/NP assist | $58.88 | $72.44 | $93.33 |
Where Wisconsin sits
The same service costs 5.6 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
$437
AK $603FL $107
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.