How much rates vary
Facilitymedian $501 · 10th to 90th $200 to $1,585Professionalmedian $646 · 10th to 90th $204 to $1,622
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 $275.42 Typical High $275.42 | Facility | None | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $2,511.89 | Professional | None (both parts) | $275.42 | $275.42 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $489.78 | Professional | 26 · Professional part | $41.69 | $41.69 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $758.58 Typical High $1,737.80 | Professional | None (both parts) | $181.97 | $758.58 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $26.92 | $112.20 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $645.65 Typical High $1,479.11 | Professional | TC · Technical part | $154.88 | $645.65 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $851.14 | Facility | None | $501.19 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $39.81 | $100.00 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $562.34 Typical High $891.25 | Professional | TC · Technical part | $218.78 | $562.34 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $1,412.54 Typical High $1,905.46 | Facility | None | $204.17 | $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 $363.08 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $363.08 | $416.87 | $524.81 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $1,023.29 | Facility | None | $162.18 | $213.80 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $524.81 Typical High $1,258.93 | Professional | None (both parts) | $239.88 | $524.81 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $34.67 | $79.43 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $467.74 Typical High $1,071.52 | Professional | TC · Technical part | $199.53 | $467.74 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $524.81 | Facility | None | $309.03 | $309.03 | $524.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $288.40 | $549.54 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $380.19 | Facility | None | $162.18 | $204.17 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $812.83 | Professional | None | $204.17 | $467.74 | $812.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $707.95 | Professional | None (both parts) | $263.03 | $263.03 | $707.95 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $39.81 | $107.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $218.78 | $602.56 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,258.93 Typical High $1,584.89 | Professional | None (both parts) | $645.65 | $1,258.93 | $1,584.89 |
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 $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 $31.62 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $31.62 | $79.43 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $181.97 | $457.09 | $1,230.27 |
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 $1,258.93 | Professional | 52 · Reduced service | $134.90 | $134.90 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $501.19 | Professional | 53 · Discontinued | $54.95 | $54.95 | $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 4.4 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
$603
AK $741TX $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.