How much rates vary
Facilitymedian $1,549 · 10th to 90th $631 to $2,399Professionalmedian $2,138 · 10th to 90th $676 to $6,761
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 $1,023.29 Typical High $1,023.29 | Facility | None | $199.53 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $9,120.11 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $9,120.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $1,174.90 | Professional | 26 · Professional part | $104.71 | $104.71 | $1,174.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $2,754.23 Typical High $6,760.83 | Professional | None (both parts) | $660.69 | $2,754.23 | $6,760.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $275.42 Typical High $562.34 | Professional | 26 · Professional part | $67.61 | $275.42 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $2,511.89 Typical High $6,309.57 | Professional | TC · Technical part | $602.56 | $2,511.89 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,089.30 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,479.11 Typical High $3,890.45 | Professional | None (both parts) | $741.31 | $1,479.11 | $3,890.45 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $389.05 | Professional | 26 · Professional part | $95.50 | $151.36 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,318.26 Typical High $3,467.37 | Professional | TC · Technical part | $630.96 | $1,318.26 | $3,467.37 |
DeanCare Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $2,454.71 | Facility | None | $794.33 | $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 $1,412.54 Median $1,698.24 Typical High $1,905.46 | Professional | None (both parts) | $1,412.54 | $1,698.24 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,479.11 | Facility | None | $630.96 | $1,000.00 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $630.96 Median $2,041.74 Typical High $4,677.35 | Professional | None (both parts) | $630.96 | $2,041.74 | $4,677.35 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $208.93 Typical High $794.33 | Professional | 26 · Professional part | $83.18 | $208.93 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $1,862.09 Typical High $4,365.16 | Professional | TC · Technical part | $562.34 | $1,862.09 | $4,365.16 |
Network Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,187.76 | Facility | None | $1,047.13 | $1,047.13 | $2,187.76 |
Network Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,862.09 Typical High $3,162.28 | Professional | None (both parts) | $977.24 | $1,862.09 | $3,162.28 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,318.26 | Facility | None | $630.96 | $794.33 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,584.89 Typical High $3,019.95 | Professional | None | $741.31 | $1,584.89 | $3,019.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $3,162.28 | Professional | None (both parts) | $977.24 | $977.24 | $3,162.28 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $316.23 | Professional | 26 · Professional part | $100.00 | $100.00 | $316.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,818.38 | Professional | TC · Technical part | $870.96 | $870.96 | $2,818.38 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $4,365.16 Typical High $6,606.93 | Professional | None (both parts) | $2,884.03 | $4,365.16 | $6,606.93 |
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 $562.34 Median $1,778.28 Typical High $4,466.84 | Professional | None (both parts) | $562.34 | $1,778.28 | $4,466.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $186.21 Typical High $389.05 | Professional | 26 · Professional part | $74.13 | $186.21 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,584.89 Typical High $4,073.80 | Professional | TC · Technical part | $478.63 | $1,584.89 | $4,073.80 |
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 $501.19 Median $501.19 Typical High $4,570.88 | Professional | 52 · Reduced service | $501.19 | $501.19 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $1,819.70 | Professional | 53 · Discontinued | $204.17 | $204.17 | $1,819.70 |
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 Texas. 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
$2,089
AK $2,754TX $537
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.