How much rates vary
Facilitymedian $1,148 · 10th to 90th $398 to $1,820Professionalmedian $1,202 · 10th to 90th $417 to $3,162
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 $645.65 Typical High $645.65 | Facility | None | $199.53 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $3,715.35 | Professional | None (both parts) | $645.65 | $645.65 | $3,715.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $2,290.87 | Professional | 26 · Professional part | $309.03 | $309.03 | $2,290.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,659.59 Typical High $3,311.31 | Professional | None (both parts) | $407.38 | $1,659.59 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $812.83 Typical High $1,659.59 | Professional | 26 · Professional part | $194.98 | $812.83 | $1,659.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $831.76 Typical High $1,621.81 | Professional | TC · Technical part | $204.17 | $831.76 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,318.26 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $933.25 Typical High $2,398.83 | Professional | None (both parts) | $478.63 | $933.25 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $446.68 Typical High $1,148.15 | Professional | 26 · Professional part | $257.04 | $446.68 | $1,148.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $1,230.27 | Professional | TC · Technical part | $218.78 | $489.78 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $512.86 Median $1,584.89 Typical High $2,137.96 | Facility | None | $512.86 | $1,584.89 | $2,137.96 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,380.38 Median $1,698.24 Typical High $2,137.96 | Facility | TC · Technical part | $1,380.38 | $1,698.24 | $2,137.96 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $1,479.11 | Facility | None | $398.11 | $602.56 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,071.52 Typical High $3,162.28 | Professional | None (both parts) | $436.52 | $1,071.52 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $630.96 Typical High $1,584.89 | Professional | 26 · Professional part | $229.09 | $630.96 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $524.81 Typical High $1,348.96 | Professional | TC · Technical part | $204.17 | $524.81 | $1,348.96 |
Network Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $776.25 | Facility | None | $602.56 | $602.56 | $776.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $954.99 Typical High $1,905.46 | Professional | None (both parts) | $575.44 | $954.99 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $831.76 | Facility | None | $398.11 | $512.86 | $831.76 |
Quartz Setting Professional Modifier None Typical Low $467.74 Median $977.24 Typical High $1,905.46 | Professional | None | $467.74 | $977.24 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $1,819.70 | Professional | None (both parts) | $616.60 | $616.60 | $1,819.70 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $912.01 | Professional | 26 · Professional part | $295.12 | $295.12 | $912.01 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $912.01 | Professional | TC · Technical part | $316.23 | $316.23 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,570.40 Typical High $3,235.94 | Professional | None (both parts) | $1,318.26 | $2,570.40 | $3,235.94 |
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 $407.38 Median $1,071.52 Typical High $2,290.87 | Professional | None (both parts) | $407.38 | $1,071.52 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $549.54 Typical High $1,174.90 | Professional | 26 · Professional part | $213.80 | $549.54 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $478.63 Typical High $1,122.02 | Professional | TC · Technical part | $181.97 | $478.63 | $1,122.02 |
7 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 $323.59 Median $323.59 Typical High $1,862.09 | Professional | 52 · Reduced service | $323.59 | $323.59 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $741.31 | Professional | 53 · Discontinued | $128.82 | $128.82 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $2,570.40 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $218.78 Median $269.15 Typical High $346.74 | Facility | 80 · Assistant surgeon | $218.78 | $269.15 | $346.74 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $218.78 Median $269.15 Typical High $346.74 | Facility | 81 · Minimal assistant surgeon | $218.78 | $269.15 | $346.74 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $269.15 Typical High $346.74 | Facility | 82 · Assistant surgeon, no resident | $218.78 | $269.15 | $346.74 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | AS · PA/NP assist | $190.55 | $239.88 | $302.00 |
Where Wisconsin sits
The same service costs 5.6 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· 2nd of 51
$1,202
AK $1,698FL $302
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.