How much rates vary
Facilitymedian $1,549 · 10th to 90th $575 to $2,291Professionalmedian $1,862 · 10th to 90th $617 to $3,981
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 $933.25 Typical High $933.25 | Facility | None | $199.53 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $3,467.37 | Professional | None (both parts) | $933.25 | $933.25 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $549.54 | Professional | 26 · Professional part | $117.49 | $117.49 | $549.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $616.60 Median $2,570.40 Typical High $4,265.80 | Professional | None (both parts) | $616.60 | $2,570.40 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $316.23 Typical High $616.60 | Professional | 26 · Professional part | $75.86 | $316.23 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $2,238.72 Typical High $3,548.13 | Professional | TC · Technical part | $537.03 | $2,238.72 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,698.24 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,380.38 Typical High $3,548.13 | Professional | None (both parts) | $691.83 | $1,380.38 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $181.97 Typical High $436.52 | Professional | 26 · Professional part | $102.33 | $181.97 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,202.26 Typical High $3,162.28 | Professional | TC · Technical part | $549.54 | $1,202.26 | $3,162.28 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $2,454.71 | Facility | None | $741.31 | $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 $1,258.93 Median $1,584.89 Typical High $1,737.80 | Professional | None (both parts) | $1,258.93 | $1,584.89 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $912.01 Typical High $1,479.11 | Facility | None | $575.44 | $912.01 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,548.82 Typical High $4,168.69 | Professional | None (both parts) | $575.44 | $1,548.82 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $245.47 Typical High $676.08 | Professional | 26 · Professional part | $93.33 | $245.47 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,380.38 Typical High $3,715.35 | Professional | TC · Technical part | $446.68 | $1,380.38 | $3,715.35 |
Network Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,174.90 | Facility | None | $954.99 | $954.99 | $1,174.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,412.54 Typical High $2,884.03 | Professional | None (both parts) | $891.25 | $1,412.54 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,230.27 | Facility | None | $575.44 | $741.31 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $1,698.24 Typical High $2,754.23 | Professional | None | $812.83 | $1,698.24 | $2,754.23 |
Quartz Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $2,818.38 | Professional | None (both parts) | $891.25 | $891.25 | $2,818.38 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $354.81 | Professional | 26 · Professional part | $112.20 | $112.20 | $354.81 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $2,454.71 | Professional | TC · Technical part | $794.33 | $794.33 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $3,890.45 Typical High $5,128.61 | Professional | None (both parts) | $1,513.56 | $3,890.45 | $5,128.61 |
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 $512.86 Median $1,479.11 Typical High $2,754.23 | Professional | None (both parts) | $512.86 | $1,479.11 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $213.80 Typical High $478.63 | Professional | 26 · Professional part | $87.10 | $213.80 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,202.26 Typical High $2,238.72 | Professional | TC · Technical part | $446.68 | $1,202.26 | $2,238.72 |
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 $467.74 Median $467.74 Typical High $1,737.80 | Professional | 52 · Reduced service | $467.74 | $467.74 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $691.83 | Professional | 53 · Discontinued | $186.21 | $186.21 | $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 6.0 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
$1,820
AK $2,570IN $427
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.