How much rates vary
Facilitymedian $490 · 10th to 90th $200 to $1,820Professionalmedian $575 · 10th to 90th $200 to $1,413
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 $269.15 Typical High $269.15 | Facility | None | $199.53 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $1,445.44 | Professional | None (both parts) | $269.15 | $269.15 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $239.88 | Professional | 26 · Professional part | $34.67 | $34.67 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $741.31 Typical High $1,513.56 | Professional | None (both parts) | $177.83 | $741.31 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $22.39 | $93.33 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $645.65 Typical High $1,445.44 | Professional | TC · Technical part | $154.88 | $645.65 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $562.34 Typical High $831.76 | Facility | None | $489.78 | $562.34 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $257.04 | $645.65 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $33.11 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $575.44 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $1,621.81 Typical High $2,187.76 | Facility | None | $199.53 | $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 $354.81 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $354.81 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $1,023.29 | Facility | None | $158.49 | $213.80 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $208.93 | $501.19 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $27.54 | $64.57 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $436.52 Typical High $1,047.13 | Professional | TC · Technical part | $181.97 | $436.52 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Facility | None | $288.40 | $288.40 | $398.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $269.15 | $436.52 | $707.95 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $371.54 | Facility | None | $158.49 | $199.53 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $794.33 | Professional | None | $199.53 | $457.09 | $794.33 |
Quartz Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $257.04 | $257.04 | $691.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $33.11 | $87.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $602.56 | Professional | TC · Technical part | $223.87 | $223.87 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,148.15 Typical High $1,513.56 | Professional | None (both parts) | $512.86 | $1,148.15 | $1,513.56 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $151.36 Typical High $186.21 | Professional | 26 · Professional part | $67.61 | $151.36 | $186.21 |
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 $199.53 Median $512.86 Typical High $1,380.38 | Professional | None (both parts) | $199.53 | $512.86 | $1,380.38 |
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 $177.83 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $177.83 | $446.68 | $1,202.26 |
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 $134.90 Median $134.90 Typical High $724.44 | Professional | 52 · Reduced service | $134.90 | $134.90 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $288.40 | Professional | 53 · Discontinued | $53.70 | $53.70 | $288.40 |
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· 2nd of 51
$575
AK $741KY $162
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.