How much rates vary
Facilitymedian $813 · 10th to 90th $263 to $1,585Professionalmedian $977 · 10th to 90th $331 to $2,344
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 $446.68 Typical High $446.68 | Facility | None | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $2,041.74 | Professional | None (both parts) | $338.84 | $446.68 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $457.09 | Professional | 26 · Professional part | $38.02 | $56.23 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $275.42 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,230.27 Typical High $2,818.38 | Professional | None (both parts) | $295.12 | $1,230.27 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $151.36 Typical High $309.03 | Professional | 26 · Professional part | $35.48 | $151.36 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,096.48 Typical High $2,511.89 | Professional | TC · Technical part | $263.03 | $1,096.48 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,380.38 | Facility | None | $812.83 | $933.25 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,071.52 Typical High $1,698.24 | Professional | None (both parts) | $426.58 | $1,071.52 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $131.83 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $954.99 Typical High $1,513.56 | Professional | TC · Technical part | $371.54 | $954.99 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $1,412.54 Typical High $1,905.46 | Facility | None | $331.13 | $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 $588.84 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $588.84 | $691.83 | $870.96 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $707.95 Typical High $1,513.56 | Facility | None | $275.42 | $707.95 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $851.14 Typical High $2,041.74 | Professional | None (both parts) | $346.74 | $851.14 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $43.65 | $104.71 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $758.58 Typical High $1,778.28 | Professional | TC · Technical part | $295.12 | $758.58 | $1,778.28 |
Network Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $588.84 | Facility | None | $489.78 | $489.78 | $588.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $457.09 | $758.58 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $630.96 | Facility | None | $263.03 | $331.13 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $1,318.26 | Professional | None | $323.59 | $676.08 | $1,318.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $426.58 | $426.58 | $1,174.90 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $53.70 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $1,023.29 | Professional | TC · Technical part | $371.54 | $371.54 | $1,023.29 |
Security Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Security Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,905.46 Typical High $2,570.40 | Professional | None (both parts) | $891.25 | $1,905.46 | $2,570.40 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,819.70 Typical High $2,570.40 | Professional | None (both parts) | $870.96 | $1,819.70 | $2,570.40 |
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 $309.03 Median $870.96 Typical High $2,398.83 | Professional | None (both parts) | $309.03 | $870.96 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $41.69 | $104.71 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $758.58 Typical High $2,089.30 | Professional | TC · Technical part | $263.03 | $758.58 | $2,089.30 |
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 $223.87 Median $223.87 Typical High $1,023.29 | Professional | 52 · Reduced service | $223.87 | $223.87 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $407.38 | Professional | 53 · Discontinued | $89.13 | $89.13 | $407.38 |
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 3.5 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
$933
AK $933KY $263
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.