How much rates vary
Facilitymedian $2,512 · 10th to 90th $871 to $4,898Professionalmedian $2,754 · 10th to 90th $912 to $6,026
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 $1,412.54 Typical High $1,412.54 | Facility | None | $199.53 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,412.54 Typical High $5,888.44 | Professional | None (both parts) | $1,047.13 | $1,412.54 | $5,888.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $707.95 Typical High $3,630.78 | Professional | 26 · Professional part | $588.84 | $707.95 | $3,630.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $407.38 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $4,168.69 Typical High $6,918.31 | Professional | None (both parts) | $870.96 | $4,168.69 | $6,918.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $2,137.96 Typical High $3,890.45 | Professional | 26 · Professional part | $446.68 | $2,137.96 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $660.69 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $141.25 | $660.69 | $1,122.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,698.24 Typical High $3,235.94 | Professional | TC · Technical part | $436.52 | $1,698.24 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,511.89 | $2,884.03 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $2,041.74 Typical High $5,248.07 | Professional | None (both parts) | $1,023.29 | $2,041.74 | $5,248.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $1,023.29 Typical High $2,630.27 | Professional | 26 · Professional part | $676.08 | $1,023.29 | $2,630.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,023.29 Typical High $2,630.27 | Professional | TC · Technical part | $457.09 | $1,023.29 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $1,122.02 Median $4,365.16 Typical High $5,888.44 | Facility | None | $1,122.02 | $4,365.16 | $5,888.44 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $602.56 Median $741.31 Typical High $954.99 | Facility | 80 · Assistant surgeon | $602.56 | $741.31 | $954.99 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $3,801.89 Median $4,677.35 Typical High $5,888.44 | Facility | TC · Technical part | $3,801.89 | $4,677.35 | $5,888.44 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,344.23 Typical High $2,630.27 | Professional | None (both parts) | $1,949.84 | $2,344.23 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,819.70 | Facility | None | $870.96 | $1,318.26 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,290.87 Typical High $6,309.57 | Professional | None (both parts) | $954.99 | $2,290.87 | $6,309.57 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $1,445.44 Typical High $5,011.87 | Professional | 26 · Professional part | $549.54 | $1,445.44 | $5,011.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,047.13 Typical High $4,073.80 | Professional | TC · Technical part | $407.38 | $1,047.13 | $4,073.80 |
Network Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,318.26 | $1,698.24 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,187.76 Typical High $4,168.69 | Professional | None (both parts) | $1,230.27 | $2,187.76 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,819.70 | Facility | None | $870.96 | $1,122.02 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $4,073.80 | Professional | None | $1,023.29 | $2,187.76 | $4,073.80 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $4,073.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Professional | 26 · Professional part | $676.08 | $676.08 | $2,089.30 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,380.38 | Professional | TC · Technical part | $676.08 | $676.08 | $1,380.38 |
Security Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $5,623.41 Typical High $6,918.31 | Professional | None (both parts) | $2,754.23 | $5,623.41 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,290.87 Typical High $4,897.79 | Professional | None (both parts) | $912.01 | $2,290.87 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $1,230.27 Typical High $2,691.53 | Professional | 26 · Professional part | $501.19 | $1,230.27 | $2,691.53 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $912.01 Typical High $2,187.76 | Professional | TC · Technical part | $346.74 | $912.01 | $2,187.76 |
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 $707.95 Median $707.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $1,202.26 | Professional | 53 · Discontinued | $281.84 | $281.84 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $4,265.80 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $602.56 Median $741.31 Typical High $954.99 | Facility | 81 · Minimal assistant surgeon | $602.56 | $741.31 | $954.99 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $602.56 Median $741.31 Typical High $954.99 | Facility | 82 · Assistant surgeon, no resident | $602.56 | $741.31 | $954.99 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $524.81 Median $660.69 Typical High $831.76 | Facility | AS · PA/NP assist | $524.81 | $660.69 | $831.76 |
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
$2,754
AK $3,715FL $661
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.