How much rates vary
Facilitymedian $372 · 10th to 90th $162 to $1,023Professionalmedian $355 · 10th to 90th $132 to $891
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 $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $977.24 | Professional | None (both parts) | $158.49 | $204.17 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $338.84 | Professional | 26 · Professional part | $42.66 | $60.26 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $131.83 | $389.05 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $158.49 Typical High $323.59 | Professional | 26 · Professional part | $38.02 | $158.49 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $60.26 | $263.03 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $630.96 | Facility | None | $371.54 | $426.58 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $776.25 | Professional | None (both parts) | $151.36 | $263.03 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $223.87 | Professional | 26 · Professional part | $54.95 | $87.10 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $190.55 Typical High $549.54 | Professional | TC · Technical part | $93.33 | $190.55 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $933.25 Typical High $1,258.93 | Facility | None | $162.18 | $933.25 | $1,258.93 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $812.83 Median $1,000.00 Typical High $1,258.93 | Facility | TC · Technical part | $812.83 | $1,000.00 | $1,258.93 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $275.42 | $346.74 | $389.05 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $338.84 | Facility | None | $128.82 | $199.53 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $309.03 Typical High $891.25 | Professional | None (both parts) | $128.82 | $309.03 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $123.03 Typical High $416.87 | Professional | 26 · Professional part | $46.77 | $123.03 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $208.93 Typical High $645.65 | Professional | TC · Technical part | $81.28 | $208.93 | $645.65 |
Network Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $199.53 | Facility | None | $102.33 | $102.33 | $199.53 |
Network Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $138.04 | $213.80 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $269.15 | Facility | None | $128.82 | $162.18 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $602.56 | Professional | None | $151.36 | $323.59 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $199.53 | $199.53 | $398.11 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $181.97 | Professional | 26 · Professional part | $58.88 | $58.88 | $181.97 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $138.04 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $851.14 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $851.14 | $1,047.13 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $204.17 | $309.03 |
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 $102.33 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $102.33 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $107.15 Typical High $229.09 | Professional | 26 · Professional part | $42.66 | $107.15 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $69.18 | $186.21 | $346.74 |
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 $102.33 Median $102.33 Typical High $501.19 | Professional | 52 · Reduced service | $102.33 | $102.33 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $199.53 | Professional | 53 · Discontinued | $41.69 | $41.69 | $199.53 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $128.82 Median $158.49 Typical High $204.17 | Facility | 80 · Assistant surgeon | $128.82 | $158.49 | $204.17 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $158.49 Typical High $204.17 | Facility | 81 · Minimal assistant surgeon | $128.82 | $158.49 | $204.17 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $158.49 Typical High $204.17 | Facility | 82 · Assistant surgeon, no resident | $128.82 | $158.49 | $204.17 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $112.20 Median $141.25 Typical High $177.83 | Facility | AS · PA/NP assist | $112.20 | $141.25 | $177.83 |
Where Wisconsin sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$355
AK $525MI $75.86
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.