How much rates vary
Facilitymedian $398 · 10th to 90th $174 to $1,995Professionalmedian $437 · 10th to 90th $155 to $1,175
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 $223.87 Typical High $223.87 | Facility | None | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $3,467.37 | Professional | None (both parts) | $213.80 | $223.87 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $162.18 Typical High $1,513.56 | Professional | 26 · Professional part | $114.82 | $162.18 | $1,513.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $57.54 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $549.54 Typical High $1,174.90 | Professional | None (both parts) | $134.90 | $549.54 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $426.58 Typical High $870.96 | Professional | 26 · Professional part | $104.71 | $426.58 | $870.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $123.03 Typical High $309.03 | Professional | TC · Technical part | $30.90 | $123.03 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $46.77 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $46.77 | $141.25 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $446.68 Typical High $676.08 | Facility | None | $398.11 | $446.68 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $213.80 | $389.05 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $602.56 | Professional | 26 · Professional part | $138.04 | $234.42 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $102.33 | $208.93 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $1,819.70 Typical High $2,454.71 | Facility | None | $173.78 | $1,819.70 | $2,454.71 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,548.82 Median $1,949.84 Typical High $2,454.71 | Facility | TC · Technical part | $1,548.82 | $1,949.84 | $2,454.71 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $309.03 | $371.54 | $416.87 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $1,479.11 | Facility | None | $138.04 | $204.17 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $562.34 Typical High $3,019.95 | Professional | None (both parts) | $158.49 | $562.34 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $316.23 Typical High $1,047.13 | Professional | 26 · Professional part | $120.23 | $316.23 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $107.15 Typical High $2,511.89 | Professional | TC · Technical part | $31.62 | $107.15 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $302.00 | Facility | None | $199.53 | $199.53 | $302.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $186.21 | $416.87 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $281.84 | Facility | None | $138.04 | $173.78 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $162.18 Median $363.08 Typical High $660.69 | Professional | None | $162.18 | $363.08 | $660.69 |
Quartz Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $630.96 | Professional | None (both parts) | $213.80 | $213.80 | $630.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $489.78 | Professional | 26 · Professional part | $158.49 | $158.49 | $489.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $229.09 | Professional | TC · Technical part | $54.95 | $54.95 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $891.25 Typical High $1,047.13 | Professional | None (both parts) | $537.03 | $891.25 | $1,047.13 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $87.10 Median $933.25 Typical High $1,174.90 | Professional | None (both parts) | $87.10 | $933.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $141.25 | $389.05 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $117.49 | $288.40 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $26.92 | $79.43 | $181.97 |
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 $112.20 Median $112.20 Typical High $1,737.80 | Professional | 52 · Reduced service | $112.20 | $112.20 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $691.83 | Professional | 53 · Discontinued | $44.67 | $44.67 | $691.83 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $251.19 Median $309.03 Typical High $389.05 | Facility | 80 · Assistant surgeon | $251.19 | $309.03 | $389.05 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $309.03 Typical High $389.05 | Facility | 81 · Minimal assistant surgeon | $251.19 | $309.03 | $389.05 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $309.03 Typical High $389.05 | Facility | 82 · Assistant surgeon, no resident | $251.19 | $309.03 | $389.05 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $218.78 Median $269.15 Typical High $346.74 | Facility | AS · PA/NP assist | $218.78 | $269.15 | $346.74 |
Where Wisconsin sits
The same service costs 5.1 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· 3rd of 51
$437
AK $575FL $112
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.