How much rates vary
Facilitymedian $537 · 10th to 90th $200 to $1,585Professionalmedian $646 · 10th to 90th $224 to $1,585
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 $295.12 Typical High $295.12 | Facility | None | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $2,511.89 | Professional | None (both parts) | $295.12 | $295.12 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $512.86 | Professional | 26 · Professional part | $50.12 | $50.12 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $812.83 Typical High $1,819.70 | Professional | None (both parts) | $194.98 | $812.83 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $134.90 Typical High $295.12 | Professional | 26 · Professional part | $32.36 | $134.90 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $676.08 Typical High $1,513.56 | Professional | TC · Technical part | $162.18 | $676.08 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $912.01 | Facility | None | $537.03 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $707.95 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $707.95 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $47.86 | $117.49 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $234.42 | $588.84 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $218.78 Median $1,412.54 Typical High $1,905.46 | Facility | None | $218.78 | $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 $389.05 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $389.05 | $457.09 | $588.84 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $1,023.29 | Facility | None | $173.78 | $234.42 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $562.34 Typical High $1,318.26 | Professional | None (both parts) | $234.42 | $562.34 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $40.74 | $93.33 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $467.74 Typical High $1,122.02 | Professional | TC · Technical part | $190.55 | $467.74 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $457.09 | Facility | None | $316.23 | $316.23 | $457.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $512.86 Typical High $794.33 | Professional | None (both parts) | $295.12 | $512.86 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $416.87 | Facility | None | $173.78 | $218.78 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $478.63 Typical High $870.96 | Professional | None | $229.09 | $478.63 | $870.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $281.84 | $281.84 | $758.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $47.86 | $128.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $630.96 | Professional | TC · Technical part | $234.42 | $234.42 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $602.56 | $1,288.25 | $1,659.59 |
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 $223.87 Median $575.44 Typical High $1,584.89 | Professional | None (both parts) | $223.87 | $575.44 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $93.33 Typical High $251.19 | Professional | 26 · Professional part | $38.02 | $93.33 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $478.63 Typical High $1,348.96 | Professional | TC · Technical part | $186.21 | $478.63 | $1,348.96 |
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 $147.91 Median $147.91 Typical High $1,258.93 | Professional | 52 · Reduced service | $147.91 | $147.91 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $501.19 | Professional | 53 · Discontinued | $58.88 | $58.88 | $501.19 |
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 4.6 times more in Alaska 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· 2nd of 51
$631
AK $794TX $174
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.