How much rates vary
Facilitymedian $1,413 · 10th to 90th $525 to $2,042Professionalmedian $1,622 · 10th to 90th $550 to $4,169
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 $851.14 Typical High $851.14 | Facility | None | $199.53 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $4,786.30 | Professional | None (both parts) | $851.14 | $851.14 | $4,786.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $3,388.44 | Professional | 26 · Professional part | $467.74 | $467.74 | $3,388.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $2,137.96 Typical High $4,365.16 | Professional | None (both parts) | $524.81 | $2,137.96 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $1,230.27 Typical High $2,454.71 | Professional | 26 · Professional part | $295.12 | $1,230.27 | $2,454.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $954.99 Typical High $1,862.09 | Professional | TC · Technical part | $234.42 | $954.99 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,570.40 | Facility | None | $1,513.56 | $1,737.80 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,230.27 Typical High $3,162.28 | Professional | None (both parts) | $630.96 | $1,230.27 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $676.08 Typical High $1,737.80 | Professional | 26 · Professional part | $380.19 | $676.08 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $562.34 Typical High $1,412.54 | Professional | TC · Technical part | $275.42 | $562.34 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $676.08 Median $1,584.89 Typical High $2,137.96 | Facility | None | $676.08 | $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 $1,174.90 Median $1,412.54 Typical High $1,584.89 | Professional | None (both parts) | $1,174.90 | $1,412.54 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,479.11 | Facility | None | $524.81 | $794.33 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,412.54 Typical High $3,388.44 | Professional | None (both parts) | $588.84 | $1,412.54 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $954.99 Typical High $2,344.23 | Professional | 26 · Professional part | $346.74 | $954.99 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $602.56 Typical High $1,862.09 | Professional | TC · Technical part | $245.47 | $602.56 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,023.29 | Facility | None | $794.33 | $794.33 | $1,023.29 |
Network Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Professional | None (both parts) | $758.58 | $1,288.25 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $1,096.48 | Facility | None | $524.81 | $676.08 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $2,511.89 | Professional | None | $616.60 | $1,288.25 | $2,511.89 |
Quartz Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $2,398.83 | Professional | None (both parts) | $812.83 | $812.83 | $2,398.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $1,380.38 | Professional | 26 · Professional part | $446.68 | $446.68 | $1,380.38 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $1,047.13 | Professional | TC · Technical part | $363.08 | $363.08 | $1,047.13 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,388.44 Typical High $4,265.80 | Professional | None (both parts) | $1,737.80 | $3,388.44 | $4,265.80 |
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 $549.54 Median $1,318.26 Typical High $3,090.30 | Professional | None (both parts) | $549.54 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $758.58 Typical High $1,778.28 | Professional | 26 · Professional part | $316.23 | $758.58 | $1,778.28 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $588.84 Typical High $1,288.25 | Professional | TC · Technical part | $234.42 | $588.84 | $1,288.25 |
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 $426.58 Median $426.58 Typical High $2,398.83 | Professional | 52 · Reduced service | $426.58 | $426.58 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $954.99 | Professional | 53 · Discontinued | $169.82 | $169.82 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $3,388.44 |
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
$1,585
AK $2,239FL $398
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.