How much rates vary
Facilitymedian $1,738 · 10th to 90th $977 to $3,311Professionalmedian $3,236 · 10th to 90th $1,047 to $7,943
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 $1,584.89 Typical High $1,584.89 | Facility | None | $199.53 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $9,120.11 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $9,120.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $1,047.13 | Professional | 26 · Professional part | $147.91 | $147.91 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $4,365.16 Typical High $8,511.38 | Professional | None (both parts) | $1,047.13 | $4,365.16 | $8,511.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $389.05 Typical High $794.33 | Professional | 26 · Professional part | $93.33 | $389.05 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $3,981.07 Typical High $7,762.47 | Professional | TC · Technical part | $954.99 | $3,981.07 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $3,311.31 Typical High $5,011.87 | Facility | None | $2,951.21 | $3,311.31 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,344.23 Typical High $6,025.60 | Professional | None (both parts) | $1,096.48 | $2,344.23 | $6,025.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $213.80 Typical High $549.54 | Professional | 26 · Professional part | $134.90 | $213.80 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $2,137.96 Typical High $5,495.41 | Professional | TC · Technical part | $1,000.00 | $2,137.96 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,258.93 | $1,905.46 | $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 $2,187.76 Median $2,691.53 Typical High $2,951.21 | Professional | None (both parts) | $2,187.76 | $2,691.53 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,089.30 | Facility | None | $977.24 | $1,479.11 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,818.38 Typical High $6,918.31 | Professional | None (both parts) | $977.24 | $2,818.38 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $302.00 Typical High $1,148.15 | Professional | 26 · Professional part | $117.49 | $302.00 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $2,511.89 Typical High $6,309.57 | Professional | TC · Technical part | $891.25 | $2,511.89 | $6,309.57 |
Network Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Facility | None | $1,659.59 | $1,659.59 | $2,041.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,570.40 Typical High $4,897.79 | Professional | None (both parts) | $1,548.82 | $2,570.40 | $4,897.79 |
Prevea360 Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $2,089.30 | Facility | None | $977.24 | $1,258.93 | $2,089.30 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $4,786.30 | Professional | None | $1,174.90 | $2,454.71 | $4,786.30 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $4,897.79 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $4,897.79 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $446.68 | Professional | 26 · Professional part | $141.25 | $141.25 | $446.68 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,380.38 Typical High $4,365.16 | Professional | TC · Technical part | $1,380.38 | $1,380.38 | $4,365.16 |
Security Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $6,606.93 Typical High $8,709.64 | Professional | None (both parts) | $3,388.44 | $6,606.93 | $8,709.64 |
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 $794.33 Median $2,570.40 Typical High $6,025.60 | Professional | None (both parts) | $794.33 | $2,570.40 | $6,025.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $104.71 | $263.03 | $562.34 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $2,511.89 Typical High $5,495.41 | Professional | TC · Technical part | $776.25 | $2,511.89 | $5,495.41 |
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 $794.33 Median $794.33 Typical High $4,570.88 | Professional | 52 · Reduced service | $794.33 | $794.33 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $1,819.70 | Professional | 53 · Discontinued | $316.23 | $316.23 | $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 5.5 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
$2,951
AK $4,365IN $794
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.