How much rates vary
Facilitymedian $200 · 10th to 90th $76 to $3,090Professionalmedian $219 · 10th to 90th $74 to $589
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 $104.71 Median $104.71 Typical High $199.53 | Facility | None | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $977.24 | Professional | None (both parts) | $104.71 | $104.71 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $141.25 | Professional | 26 · Professional part | $11.75 | $11.75 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $66.07 | $275.42 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $7.59 | $31.62 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $245.47 Typical High $602.56 | Professional | TC · Technical part | $57.54 | $245.47 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $323.59 | Facility | None | $190.55 | $213.80 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $100.00 | $245.47 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $27.54 Typical High $43.65 | Professional | 26 · Professional part | $11.22 | $27.54 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $87.10 | $218.78 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $75.86 Median $2,454.71 Typical High $3,388.44 | Facility | None | $75.86 | $2,454.71 | $3,388.44 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $2,137.96 Median $2,630.27 Typical High $3,388.44 | Facility | TC · Technical part | $2,137.96 | $2,630.27 | $3,388.44 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $138.04 | $158.49 | $213.80 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $3,311.31 | Facility | None | $58.88 | $81.28 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $75.86 | $181.97 | $478.63 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $21.88 Typical High $56.23 | Professional | 26 · Professional part | $9.55 | $21.88 | $56.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $162.18 Typical High $426.58 | Professional | TC · Technical part | $66.07 | $162.18 | $426.58 |
Network Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $190.55 | Facility | None | $102.33 | $102.33 | $190.55 |
Network Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $95.50 | $204.17 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $134.90 | Facility | None | $58.88 | $75.86 | $134.90 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $302.00 | Professional | None | $79.43 | $165.96 | $302.00 |
Quartz Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $257.04 | Professional | None (both parts) | $100.00 | $100.00 | $257.04 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $11.22 | $29.51 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $229.09 | Professional | TC · Technical part | $87.10 | $87.10 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Security Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $426.58 Typical High $537.03 | Professional | None (both parts) | $263.03 | $426.58 | $537.03 |
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 $72.44 Median $181.97 Typical High $562.34 | Professional | None (both parts) | $72.44 | $181.97 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $21.38 Typical High $56.23 | Professional | 26 · Professional part | $8.71 | $21.38 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $162.18 Typical High $512.86 | Professional | TC · Technical part | $63.10 | $162.18 | $512.86 |
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 $51.29 Median $51.29 Typical High $489.78 | Professional | 52 · Reduced service | $51.29 | $51.29 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $194.98 | Professional | 53 · Discontinued | $20.89 | $20.89 | $194.98 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | 80 · Assistant surgeon | $346.74 | $426.58 | $537.03 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | 81 · Minimal assistant surgeon | $346.74 | $426.58 | $537.03 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | 82 · Assistant surgeon, no resident | $346.74 | $426.58 | $537.03 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | AS · PA/NP assist | $302.00 | $371.54 | $467.74 |
Where Wisconsin sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$214
AL $513IN $63.10
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.