How much rates vary
Facilitymedian $200 · 10th to 90th $79 to $2,754Professionalmedian $224 · 10th to 90th $76 to $603
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 $107.15 Median $107.15 Typical High $199.53 | Facility | None | $107.15 | $107.15 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $1,000.00 | Professional | None (both parts) | $107.15 | $107.15 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $151.36 | Professional | 26 · Professional part | $14.13 | $14.13 | $151.36 |
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 $67.61 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $67.61 | $281.84 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $9.12 | $38.02 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $57.54 | $245.47 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $331.13 | Facility | None | $194.98 | $218.78 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $102.33 | $251.19 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $13.49 | $33.88 | $53.70 |
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 $79.43 Median $2,454.71 Typical High $3,388.44 | Facility | None | $79.43 | $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 $141.25 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $141.25 | $165.96 | $199.53 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $1,023.29 | Facility | None | $60.26 | $83.18 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $83.18 | $186.21 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $26.30 Typical High $69.18 | Professional | 26 · Professional part | $11.75 | $26.30 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $70.79 | $165.96 | $398.11 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $186.21 | Facility | None | $104.71 | $104.71 | $186.21 |
Network Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $208.93 Typical High $251.19 | Professional | None (both parts) | $100.00 | $208.93 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $79.43 Typical High $138.04 | Facility | None | $60.26 | $79.43 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $309.03 | Professional | None | $81.28 | $186.21 | $309.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $102.33 | $102.33 | $263.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $36.31 | Professional | 26 · Professional part | $13.49 | $13.49 | $36.31 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Security Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $245.47 | $436.52 | $549.54 |
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 $74.13 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $74.13 | $186.21 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $26.30 Typical High $69.18 | Professional | 26 · Professional part | $10.72 | $26.30 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $162.18 | $467.74 |
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 $53.70 Median $53.70 Typical High $501.19 | Professional | 52 · Reduced service | $53.70 | $53.70 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $199.53 | Professional | 53 · Discontinued | $21.38 | $21.38 | $199.53 |
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 7.2 times more in Alabama 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· 3rd of 51
$224
AL $479TX $66.07
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.