How much rates vary
Facilitymedian $275 · 10th to 90th $115 to $1,585Professionalmedian $324 · 10th to 90th $110 to $813
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 $154.88 Median $154.88 Typical High $199.53 | Facility | None | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $1,479.11 | Professional | None (both parts) | $154.88 | $154.88 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $346.74 | Professional | 26 · Professional part | $28.84 | $28.84 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $109.65 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $97.72 | $407.38 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $18.62 | $77.62 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $79.43 | $331.13 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $147.91 | $363.08 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $67.61 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $295.12 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $1,412.54 Typical High $1,905.46 | Facility | None | $114.82 | $1,412.54 | $1,905.46 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,230.27 Median $1,513.56 Typical High $1,905.46 | Facility | TC · Technical part | $1,230.27 | $1,513.56 | $1,905.46 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $204.17 | $239.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $1,023.29 | Facility | None | $87.10 | $120.23 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $117.49 | $288.40 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $23.44 | $53.70 | $138.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $95.50 | $234.42 | $562.34 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $199.53 | Facility | None | $154.88 | $154.88 | $199.53 |
Network Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $144.54 | $223.87 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $199.53 | Facility | None | $87.10 | $114.82 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $446.68 | Professional | None | $114.82 | $263.03 | $446.68 |
Quartz Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | None (both parts) | $147.91 | $147.91 | $380.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $27.54 | $72.44 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $120.23 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $263.03 | $630.96 | $812.83 |
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 $107.15 Median $281.84 Typical High $707.95 | Professional | None (both parts) | $107.15 | $281.84 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $21.88 | $53.70 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $87.10 | $234.42 | $562.34 |
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 $75.86 Median $75.86 Typical High $741.31 | Professional | 52 · Reduced service | $75.86 | $75.86 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $295.12 | Professional | 53 · Discontinued | $30.90 | $30.90 | $295.12 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $194.98 Median $245.47 Typical High $309.03 | Facility | 80 · Assistant surgeon | $194.98 | $245.47 | $309.03 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $194.98 Median $245.47 Typical High $309.03 | Facility | 81 · Minimal assistant surgeon | $194.98 | $245.47 | $309.03 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $194.98 Median $245.47 Typical High $309.03 | Facility | 82 · Assistant surgeon, no resident | $194.98 | $245.47 | $309.03 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $169.82 Median $213.80 Typical High $269.15 | Facility | AS · PA/NP assist | $169.82 | $213.80 | $269.15 |
Where Wisconsin sits
The same service costs 5.0 times more in Alabama than in New York. 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
$316
AL $479NY $95.50
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.