How much rates vary
Facilitymedian $457 · 10th to 90th $186 to $1,000Professionalmedian $575 · 10th to 90th $191 to $1,514
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 $251.19 Typical High $251.19 | Facility | None | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $1,949.84 | Professional | None (both parts) | $251.19 | $251.19 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $251.19 | Professional | 26 · Professional part | $25.70 | $25.70 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $707.95 Typical High $1,621.81 | Professional | None (both parts) | $169.82 | $707.95 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $70.79 Typical High $151.36 | Professional | 26 · Professional part | $16.98 | $70.79 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $645.65 Typical High $1,479.11 | Professional | TC · Technical part | $154.88 | $645.65 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $776.25 | Facility | None | $457.09 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $616.60 Typical High $954.99 | Professional | None (both parts) | $239.88 | $616.60 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $24.55 | $61.66 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $549.54 Typical High $870.96 | Professional | TC · Technical part | $218.78 | $549.54 | $870.96 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $794.33 Typical High $1,096.48 | Facility | None | $186.21 | $794.33 | $1,096.48 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $851.14 Typical High $1,096.48 | Facility | TC · Technical part | $691.83 | $851.14 | $1,096.48 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $331.13 | $389.05 | $501.19 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $1,023.29 | Facility | None | $154.88 | $199.53 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $512.86 Typical High $1,202.26 | Professional | None (both parts) | $223.87 | $512.86 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $20.42 | $48.98 | $109.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $457.09 Typical High $1,071.52 | Professional | TC · Technical part | $204.17 | $457.09 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $416.87 | Facility | None | $288.40 | $288.40 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $269.15 | $426.58 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $186.21 Typical High $363.08 | Facility | None | $154.88 | $186.21 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $741.31 | Professional | None | $186.21 | $389.05 | $741.31 |
Quartz Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $676.08 | Professional | None (both parts) | $239.88 | $239.88 | $676.08 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $24.55 | $66.07 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $218.78 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,174.90 Typical High $1,513.56 | Professional | None (both parts) | $501.19 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $512.86 Typical High $1,348.96 | Professional | None (both parts) | $199.53 | $512.86 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $19.50 | $47.86 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $177.83 | $457.09 | $1,230.27 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $112.20 Median $138.04 Typical High $173.78 | Facility | 80 · Assistant surgeon | $112.20 | $138.04 | $173.78 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $138.04 Typical High $173.78 | Facility | 81 · Minimal assistant surgeon | $112.20 | $138.04 | $173.78 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $138.04 Typical High $173.78 | Facility | 82 · Assistant surgeon, no resident | $112.20 | $138.04 | $173.78 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $97.72 Median $120.23 Typical High $151.36 | Facility | AS · PA/NP assist | $97.72 | $120.23 | $151.36 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$575
AK $676TX $155
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.