How much rates vary
Facilitymedian $617 · 10th to 90th $200 to $1,585Professionalmedian $708 · 10th to 90th $240 to $1,738
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 $331.13 Typical High $331.13 | Facility | None | $199.53 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $1,737.80 | Professional | None (both parts) | $331.13 | $331.13 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $316.23 | Professional | 26 · Professional part | $48.98 | $48.98 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $239.88 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $223.87 | $933.25 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $131.83 Typical High $281.84 | Professional | 26 · Professional part | $31.62 | $131.83 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $794.33 Typical High $1,778.28 | Professional | TC · Technical part | $190.55 | $794.33 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $1,047.13 | Facility | None | $616.60 | $691.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $114.82 Typical High $181.97 | Professional | 26 · Professional part | $46.77 | $114.82 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $691.83 Typical High $1,096.48 | Professional | TC · Technical part | $275.42 | $691.83 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $245.47 Median $1,412.54 Typical High $1,905.46 | Facility | None | $245.47 | $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 $446.68 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $446.68 | $512.86 | $630.96 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $1,023.29 | Facility | None | $199.53 | $263.03 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $616.60 Typical High $1,513.56 | Professional | None (both parts) | $257.04 | $616.60 | $1,513.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $38.02 | $89.13 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $549.54 Typical High $1,288.25 | Professional | TC · Technical part | $223.87 | $549.54 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $512.86 | Facility | None | $363.08 | $363.08 | $512.86 |
Network Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $338.84 | $549.54 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $457.09 | Facility | None | $199.53 | $245.47 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $239.88 Median $512.86 Typical High $977.24 | Professional | None | $239.88 | $512.86 | $977.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $870.96 | Professional | None (both parts) | $316.23 | $316.23 | $870.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $46.77 | $123.03 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $275.42 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Security Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,445.44 Typical High $1,905.46 | Professional | None (both parts) | $645.65 | $1,445.44 | $1,905.46 |
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 $245.47 Median $630.96 Typical High $1,698.24 | Professional | None (both parts) | $245.47 | $630.96 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $36.31 | $89.13 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $549.54 Typical High $1,479.11 | Professional | TC · Technical part | $213.80 | $549.54 | $1,479.11 |
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 $165.96 Median $165.96 Typical High $870.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $346.74 | Professional | 53 · Discontinued | $67.61 | $67.61 | $346.74 |
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 4.2 times more in Alaska than in Florida. 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
$708
AK $851FL $204
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.