How much rates vary
Facilitymedian $1,175 · 10th to 90th $427 to $1,698Professionalmedian $1,288 · 10th to 90th $437 to $3,020
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 $691.83 Typical High $691.83 | Facility | None | $199.53 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $4,786.30 | Professional | None (both parts) | $691.83 | $691.83 | $4,786.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $1,949.84 | Professional | 26 · Professional part | $234.42 | $234.42 | $1,949.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $467.74 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,621.81 Typical High $3,311.31 | Professional | None (both parts) | $436.52 | $1,621.81 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $616.60 Typical High $1,230.27 | Professional | 26 · Professional part | $147.91 | $616.60 | $1,230.27 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $1,000.00 Typical High $1,949.84 | Professional | TC · Technical part | $288.40 | $1,000.00 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,137.96 | Facility | None | $1,258.93 | $1,445.44 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,023.29 Typical High $2,570.40 | Professional | None (both parts) | $501.19 | $1,023.29 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $338.84 Typical High $870.96 | Professional | 26 · Professional part | $194.98 | $338.84 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $676.08 Typical High $1,737.80 | Professional | TC · Technical part | $331.13 | $676.08 | $1,737.80 |
DeanCare Setting Facility Modifier None Typical Low $549.54 Median $1,348.96 Typical High $1,819.70 | Facility | None | $549.54 | $1,348.96 | $1,819.70 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,445.44 Typical High $1,819.70 | Facility | TC · Technical part | $1,174.90 | $1,445.44 | $1,819.70 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,174.90 Typical High $1,288.25 | Professional | None (both parts) | $933.25 | $1,174.90 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $933.25 | Facility | None | $426.58 | $660.69 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,071.52 Typical High $2,884.03 | Professional | None (both parts) | $446.68 | $1,071.52 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $446.68 Typical High $954.99 | Professional | 26 · Professional part | $181.97 | $446.68 | $954.99 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $660.69 Typical High $1,905.46 | Professional | TC · Technical part | $269.15 | $660.69 | $1,905.46 |
Network Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Network Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,148.15 Typical High $2,041.74 | Professional | None (both parts) | $602.56 | $1,148.15 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $426.58 Median $549.54 Typical High $912.01 | Facility | None | $426.58 | $549.54 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,995.26 | Professional | None | $512.86 | $1,071.52 | $1,995.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $1,584.89 | Professional | None (both parts) | $660.69 | $660.69 | $1,584.89 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $691.83 | Professional | 26 · Professional part | $223.87 | $223.87 | $691.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $912.01 | Professional | TC · Technical part | $446.68 | $446.68 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $2,818.38 Typical High $3,715.35 | Professional | None (both parts) | $1,174.90 | $2,818.38 | $3,715.35 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $1,202.26 | $1,202.26 | $1,202.26 |
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 $426.58 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $426.58 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $407.38 Typical High $891.25 | Professional | 26 · Professional part | $165.96 | $407.38 | $891.25 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $616.60 Typical High $1,202.26 | Professional | TC · Technical part | $257.04 | $616.60 | $1,202.26 |
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 $186.21 Median $234.42 Typical High $295.12 | Facility | 80 · Assistant surgeon | $186.21 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $234.42 Typical High $295.12 | Facility | 81 · Minimal assistant surgeon | $186.21 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $234.42 Typical High $295.12 | Facility | 82 · Assistant surgeon, no resident | $186.21 | $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 5.9 times more in Alaska than in Alabama. 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
$1,259
AK $1,862AL $316
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.