How much rates vary
Facilitymedian $1,122 · 10th to 90th $447 to $1,698Professionalmedian $1,380 · 10th to 90th $513 to $3,631
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 $724.44 Typical High $724.44 | Facility | None | $199.53 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $4,677.35 | Professional | None (both parts) | $562.34 | $724.44 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $346.74 Typical High $2,187.76 | Professional | 26 · Professional part | $245.47 | $346.74 | $2,187.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $371.54 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,819.70 Typical High $3,801.89 | Professional | None (both parts) | $446.68 | $1,819.70 | $3,801.89 |
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 $229.09 Median $912.01 Typical High $1,949.84 | Professional | TC · Technical part | $229.09 | $912.01 | $1,949.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $295.12 | $295.12 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,479.11 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,047.13 Typical High $2,630.27 | Professional | None (both parts) | $616.60 | $1,047.13 | $2,630.27 |
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 $323.59 Median $549.54 Typical High $1,380.38 | Professional | TC · Technical part | $323.59 | $549.54 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $562.34 Median $1,348.96 Typical High $1,862.09 | Facility | None | $562.34 | $1,348.96 | $1,862.09 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,174.90 Median $1,445.44 Typical High $1,862.09 | Facility | TC · Technical part | $1,174.90 | $1,445.44 | $1,862.09 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,202.26 Typical High $1,318.26 | Professional | None (both parts) | $1,000.00 | $1,202.26 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $954.99 | Facility | None | $446.68 | $676.08 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,288.25 Typical High $2,884.03 | Professional | None (both parts) | $575.44 | $1,288.25 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $616.60 Typical High $1,412.54 | Professional | 26 · Professional part | $269.15 | $616.60 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $776.25 Typical High $1,479.11 | Professional | TC · Technical part | $302.00 | $776.25 | $1,479.11 |
Network Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $1,000.00 | Facility | None | $707.95 | $707.95 | $1,000.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,288.25 Typical High $2,089.30 | Professional | None (both parts) | $660.69 | $1,288.25 | $2,089.30 |
Prevea360 Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $954.99 | Facility | None | $446.68 | $562.34 | $954.99 |
Quartz Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,137.96 | Professional | None | $524.81 | $1,096.48 | $2,137.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $2,137.96 | Professional | None (both parts) | $691.83 | $691.83 | $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 $354.81 Median $354.81 Typical High $1,071.52 | Professional | TC · Technical part | $354.81 | $354.81 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,951.21 Typical High $3,715.35 | Professional | None (both parts) | $1,698.24 | $2,951.21 | $3,715.35 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,348.96 Typical High $3,715.35 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $3,715.35 |
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 $512.86 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $512.86 | $1,288.25 | $3,019.95 |
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 $676.08 Typical High $1,698.24 | Professional | TC · Technical part | $263.03 | $676.08 | $1,698.24 |
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 $190.55 Median $234.42 Typical High $295.12 | Facility | 80 · Assistant surgeon | $190.55 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | 81 · Minimal assistant surgeon | $190.55 | $234.42 | $295.12 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | 82 · Assistant surgeon, no resident | $190.55 | $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 4.4 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
$1,380
AK $1,622FL $372
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.