How much rates vary
Facilitymedian $417 · 10th to 90th $170 to $1,660Professionalmedian $525 · 10th to 90th $170 to $1,380
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 $229.09 Typical High $229.09 | Facility | None | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $2,089.30 | Professional | None (both parts) | $229.09 | $229.09 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $275.42 | Professional | 26 · Professional part | $24.55 | $24.55 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $630.96 Typical High $1,380.38 | Professional | None (both parts) | $151.36 | $630.96 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $15.85 | $66.07 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $575.44 Typical High $1,318.26 | Professional | TC · Technical part | $134.90 | $575.44 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $707.95 | Facility | None | $416.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $218.78 | $549.54 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $23.44 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $501.19 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $501.19 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $1,513.56 Typical High $2,041.74 | Facility | None | $169.82 | $1,513.56 | $2,041.74 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,318.26 Median $1,621.81 Typical High $2,041.74 | Facility | TC · Technical part | $1,318.26 | $1,621.81 | $2,041.74 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $302.00 | $354.81 | $446.68 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $1,023.29 | Facility | None | $134.90 | $181.97 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $186.21 | $436.52 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $45.71 Typical High $117.49 | Professional | 26 · Professional part | $20.42 | $45.71 | $117.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $398.11 Typical High $954.99 | Professional | TC · Technical part | $162.18 | $398.11 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $436.52 | Facility | None | $257.04 | $257.04 | $436.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $239.88 | $478.63 | $602.56 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $323.59 | Facility | None | $134.90 | $169.82 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $676.08 | Professional | None | $169.82 | $363.08 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | None (both parts) | $218.78 | $218.78 | $602.56 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $23.44 | $63.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $194.98 | $537.03 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,047.13 Typical High $1,348.96 | Professional | None (both parts) | $562.34 | $1,047.13 | $1,348.96 |
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 $177.83 Median $446.68 Typical High $1,202.26 | Professional | None (both parts) | $177.83 | $446.68 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $45.71 Typical High $117.49 | Professional | 26 · Professional part | $18.62 | $45.71 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $407.38 | $1,096.48 |
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 $114.82 Median $114.82 Typical High $1,047.13 | Professional | 52 · Reduced service | $114.82 | $114.82 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $426.58 | Professional | 53 · Discontinued | $45.71 | $45.71 | $426.58 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $208.93 Median $263.03 Typical High $331.13 | Facility | 80 · Assistant surgeon | $208.93 | $263.03 | $331.13 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $208.93 Median $263.03 Typical High $331.13 | Facility | 81 · Minimal assistant surgeon | $208.93 | $263.03 | $331.13 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $208.93 Median $263.03 Typical High $331.13 | Facility | 82 · Assistant surgeon, no resident | $208.93 | $263.03 | $331.13 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $181.97 Median $229.09 Typical High $288.40 | Facility | AS · PA/NP assist | $181.97 | $229.09 | $288.40 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$501
AK $631FL $141
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.