How much rates vary
Facilitymedian $1,738 · 10th to 90th $871 to $2,951Professionalmedian $2,818 · 10th to 90th $912 to $6,457
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 $1,412.54 Typical High $1,412.54 | Facility | None | $199.53 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $6,606.93 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $6,606.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $870.96 | Professional | 26 · Professional part | $141.25 | $141.25 | $870.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $3,801.89 Typical High $7,244.36 | Professional | None (both parts) | $912.01 | $3,801.89 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $380.19 Typical High $758.58 | Professional | 26 · Professional part | $91.20 | $380.19 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $3,311.31 Typical High $6,309.57 | Professional | TC · Technical part | $831.76 | $3,311.31 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,570.40 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $2,041.74 Typical High $5,370.32 | Professional | None (both parts) | $1,000.00 | $2,041.74 | $5,370.32 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $218.78 Typical High $537.03 | Professional | 26 · Professional part | $138.04 | $218.78 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,862.09 Typical High $4,786.30 | Professional | TC · Technical part | $851.14 | $1,862.09 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,122.02 | $1,862.09 | $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 $1,949.84 Median $2,344.23 Typical High $2,630.27 | Professional | None (both parts) | $1,949.84 | $2,344.23 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,862.09 | Facility | None | $870.96 | $1,380.38 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $2,238.72 Typical High $6,456.54 | Professional | None (both parts) | $870.96 | $2,238.72 | $6,456.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $302.00 Typical High $1,412.54 | Professional | 26 · Professional part | $117.49 | $302.00 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $2,089.30 Typical High $5,754.40 | Professional | TC · Technical part | $691.83 | $2,089.30 | $5,754.40 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,513.56 | $1,513.56 | $2,290.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,819.70 Typical High $4,365.16 | Professional | None (both parts) | $1,412.54 | $1,819.70 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,862.09 | Facility | None | $870.96 | $1,122.02 | $1,862.09 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $2,398.83 Typical High $4,073.80 | Professional | None | $1,148.15 | $2,398.83 | $4,073.80 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $4,365.16 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $4,365.16 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $436.52 | Professional | 26 · Professional part | $138.04 | $138.04 | $436.52 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $3,890.45 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $2,570.40 | $6,309.57 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $2,187.76 Typical High $4,365.16 | Professional | None (both parts) | $724.44 | $2,187.76 | $4,365.16 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $107.15 | $263.03 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,949.84 Typical High $3,801.89 | Professional | TC · Technical part | $645.65 | $1,949.84 | $3,801.89 |
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 $707.95 Median $707.95 Typical High $3,311.31 | Professional | 52 · Reduced service | $707.95 | $707.95 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $1,348.96 | Professional | 53 · Discontinued | $281.84 | $281.84 | $1,348.96 |
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 5.5 times more in Alaska than in Indiana. 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
$2,692
AK $3,802IN $692
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.