How much rates vary
Facilitymedian $676 · 10th to 90th $224 to $1,862Professionalmedian $832 · 10th to 90th $282 to $2,089
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 $371.54 Typical High $371.54 | Facility | None | $199.53 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $2,754.23 | Professional | None (both parts) | $371.54 | $371.54 | $2,754.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $467.74 | Professional | 26 · Professional part | $50.12 | $50.12 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,047.13 Typical High $2,398.83 | Professional | None (both parts) | $251.19 | $1,047.13 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $32.36 | $134.90 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $912.01 Typical High $2,089.30 | Professional | TC · Technical part | $218.78 | $912.01 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,148.15 | Facility | None | $676.08 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $912.01 Typical High $1,412.54 | Professional | None (both parts) | $354.81 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $47.86 | $117.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $794.33 Typical High $1,230.27 | Professional | TC · Technical part | $309.03 | $794.33 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $275.42 Median $1,659.59 Typical High $2,290.87 | Facility | None | $275.42 | $1,659.59 | $2,290.87 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,445.44 Median $1,778.28 Typical High $2,290.87 | Facility | TC · Technical part | $1,445.44 | $1,778.28 | $2,290.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $489.78 | $575.44 | $741.31 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $295.12 Typical High $1,023.29 | Facility | None | $223.87 | $295.12 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $724.44 Typical High $1,737.80 | Professional | None (both parts) | $309.03 | $724.44 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $40.74 | $93.33 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $645.65 Typical High $1,513.56 | Professional | TC · Technical part | $263.03 | $645.65 | $1,513.56 |
Network Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $575.44 | Facility | None | $426.58 | $426.58 | $575.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $645.65 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $537.03 | Facility | None | $223.87 | $275.42 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $1,096.48 | Professional | None | $281.84 | $588.84 | $1,096.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $977.24 | Professional | None (both parts) | $354.81 | $354.81 | $977.24 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $47.86 | $125.89 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $851.14 | Professional | TC · Technical part | $309.03 | $309.03 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Security Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,621.81 Typical High $2,187.76 | Professional | None (both parts) | $758.58 | $1,621.81 | $2,187.76 |
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 $295.12 Median $741.31 Typical High $1,995.26 | Professional | None (both parts) | $295.12 | $741.31 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $93.33 Typical High $239.88 | Professional | 26 · Professional part | $38.02 | $93.33 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $660.69 Typical High $1,737.80 | Professional | TC · Technical part | $251.19 | $660.69 | $1,737.80 |
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 $186.21 Median $186.21 Typical High $1,380.38 | Professional | 52 · Reduced service | $186.21 | $186.21 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $549.54 | Professional | 53 · Discontinued | $74.13 | $74.13 | $549.54 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 80 · Assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 81 · Minimal assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 82 · Assistant surgeon, no resident | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $204.17 Median $251.19 Typical High $316.23 | Facility | AS · PA/NP assist | $204.17 | $251.19 | $316.23 |
Where Wisconsin sits
The same service costs 4.6 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
$832
AK $1,023TX $224
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.