How much rates vary
Facilitymedian $1,096 · 10th to 90th $355 to $5,623Professionalmedian $1,318 · 10th to 90th $447 to $3,311
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 $588.84 Typical High $588.84 | Facility | None | $199.53 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $4,073.80 | Professional | None (both parts) | $588.84 | $588.84 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $478.63 | Professional | 26 · Professional part | $52.48 | $52.48 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $537.03 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,659.59 Typical High $3,630.78 | Professional | None (both parts) | $398.11 | $1,659.59 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $144.54 Typical High $302.00 | Professional | 26 · Professional part | $33.88 | $144.54 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $1,513.56 Typical High $3,388.44 | Professional | TC · Technical part | $363.08 | $1,513.56 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,230.27 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,445.44 Typical High $2,290.87 | Professional | None (both parts) | $575.44 | $1,445.44 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $51.29 | $125.89 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,318.26 Typical High $2,089.30 | Professional | TC · Technical part | $512.86 | $1,318.26 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $436.52 Median $5,011.87 Typical High $6,918.31 | Facility | None | $436.52 | $5,011.87 | $6,918.31 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $5,370.32 Typical High $6,918.31 | Facility | TC · Technical part | $4,365.16 | $5,370.32 | $6,918.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $1,174.90 | Professional | None (both parts) | $794.33 | $912.01 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $3,311.31 | Facility | None | $354.81 | $467.74 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,148.15 Typical High $2,754.23 | Professional | None (both parts) | $446.68 | $1,148.15 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $41.69 | $100.00 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,071.52 Typical High $2,511.89 | Professional | TC · Technical part | $416.87 | $1,071.52 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $870.96 | Facility | None | $660.69 | $660.69 | $870.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,000.00 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $1,000.00 | $1,621.81 |
Prevea360 Setting Facility Modifier None Typical Low $354.81 Median $436.52 Typical High $851.14 | Facility | None | $354.81 | $436.52 | $851.14 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $1,778.28 | Professional | None | $426.58 | $912.01 | $1,778.28 |
Quartz Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $1,548.82 | Professional | None (both parts) | $575.44 | $575.44 | $1,548.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $51.29 | $134.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $1,445.44 | Professional | TC · Technical part | $512.86 | $512.86 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $2,511.89 Typical High $3,467.37 | Professional | None (both parts) | $1,174.90 | $2,511.89 | $3,467.37 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,174.90 Typical High $3,162.28 | Professional | None (both parts) | $436.52 | $1,174.90 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $38.90 | $100.00 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,096.48 Typical High $2,951.21 | Professional | TC · Technical part | $380.19 | $1,096.48 | $2,951.21 |
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 $295.12 Median $295.12 Typical High $2,041.74 | Professional | 52 · Reduced service | $295.12 | $295.12 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $831.76 | Professional | 53 · Discontinued | $120.23 | $120.23 | $831.76 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 80 · Assistant surgeon | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 81 · Minimal assistant surgeon | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 82 · Assistant surgeon, no resident | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $616.60 Median $758.58 Typical High $954.99 | Facility | AS · PA/NP assist | $616.60 | $758.58 | $954.99 |
Where Wisconsin sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 3rd of 51
$1,318
AK $1,585KY $347
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.