How much rates vary
Facilitymedian $537 · 10th to 90th $200 to $1,820Professionalmedian $617 · 10th to 90th $214 to $1,549
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 $288.40 Typical High $288.40 | Facility | None | $199.53 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $2,041.74 | Professional | None (both parts) | $288.40 | $288.40 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $316.23 | Professional | 26 · Professional part | $35.48 | $35.48 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $794.33 Typical High $1,737.80 | Professional | None (both parts) | $186.21 | $794.33 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $95.50 Typical High $204.17 | Professional | 26 · Professional part | $22.91 | $95.50 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $691.83 Typical High $1,513.56 | Professional | TC · Technical part | $165.96 | $691.83 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Facility | None | $537.03 | $602.56 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $281.84 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $33.88 | $83.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $616.60 Typical High $954.99 | Professional | TC · Technical part | $245.47 | $616.60 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $1,621.81 Typical High $2,187.76 | Facility | None | $213.80 | $1,621.81 | $2,187.76 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,412.54 Median $1,737.80 Typical High $2,187.76 | Facility | TC · Technical part | $1,412.54 | $1,737.80 | $2,187.76 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $389.05 | $446.68 | $549.54 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $1,380.38 | Facility | None | $169.82 | $229.09 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $524.81 Typical High $1,288.25 | Professional | None (both parts) | $218.78 | $524.81 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $26.92 | $64.57 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $467.74 Typical High $1,148.15 | Professional | TC · Technical part | $190.55 | $467.74 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $288.40 | $446.68 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $380.19 | Facility | None | $169.82 | $213.80 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $489.78 Typical High $851.14 | Professional | None | $213.80 | $489.78 | $851.14 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $741.31 | Professional | None (both parts) | $281.84 | $281.84 | $741.31 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $33.88 | $89.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $245.47 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,202.26 Typical High $1,621.81 | Professional | None (both parts) | $524.81 | $1,202.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $537.03 Typical High $1,412.54 | Professional | None (both parts) | $213.80 | $537.03 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $25.70 | $64.57 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $478.63 Typical High $1,258.93 | Professional | TC · Technical part | $186.21 | $478.63 | $1,258.93 |
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 $144.54 Median $144.54 Typical High $1,023.29 | Professional | 52 · Reduced service | $144.54 | $144.54 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $407.38 | Professional | 53 · Discontinued | $58.88 | $58.88 | $407.38 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | 80 · Assistant surgeon | $223.87 | $281.84 | $354.81 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | 81 · Minimal assistant surgeon | $223.87 | $281.84 | $354.81 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | 82 · Assistant surgeon, no resident | $223.87 | $281.84 | $354.81 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $199.53 Median $245.47 Typical High $309.03 | Facility | AS · PA/NP assist | $199.53 | $245.47 | $309.03 |
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
$617
AK $776KY $170
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.