How much rates vary
Facilitymedian $851 · 10th to 90th $282 to $1,585Professionalmedian $1,023 · 10th to 90th $347 to $2,570
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 $467.74 Typical High $467.74 | Facility | None | $199.53 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $3,388.44 | Professional | None (both parts) | $467.74 | $467.74 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $660.69 | Professional | 26 · Professional part | $69.18 | $69.18 | $660.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,318.26 Typical High $2,951.21 | Professional | None (both parts) | $316.23 | $1,318.26 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $186.21 Typical High $407.38 | Professional | 26 · Professional part | $44.67 | $186.21 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $1,122.02 Typical High $2,570.40 | Professional | TC · Technical part | $269.15 | $1,122.02 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,445.44 | Facility | None | $851.14 | $977.24 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,148.15 Typical High $1,778.28 | Professional | None (both parts) | $446.68 | $1,148.15 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $66.07 | $165.96 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $977.24 Typical High $1,548.82 | Professional | TC · Technical part | $380.19 | $977.24 | $1,548.82 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $1,412.54 Typical High $1,905.46 | Facility | None | $346.74 | $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 $616.60 Median $724.44 Typical High $912.01 | Professional | None (both parts) | $616.60 | $724.44 | $912.01 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $1,023.29 | Facility | None | $281.84 | $371.54 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $891.25 Typical High $2,137.96 | Professional | None (both parts) | $371.54 | $891.25 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $131.83 Typical High $295.12 | Professional | 26 · Professional part | $54.95 | $131.83 | $295.12 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $776.25 Typical High $1,819.70 | Professional | TC · Technical part | $316.23 | $776.25 | $1,819.70 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $724.44 | Facility | None | $512.86 | $512.86 | $724.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $489.78 | $794.33 | $1,258.93 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $660.69 | Facility | None | $281.84 | $346.74 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $724.44 Typical High $1,380.38 | Professional | None | $338.84 | $724.44 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $1,230.27 | Professional | None (both parts) | $446.68 | $446.68 | $1,230.27 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $66.07 | $177.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $1,047.13 | Professional | TC · Technical part | $380.19 | $380.19 | $1,047.13 |
Security Health Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Security Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $2,041.74 Typical High $2,691.53 | Professional | None (both parts) | $933.25 | $2,041.74 | $2,691.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $302.00 Typical High $380.19 | Professional | 26 · Professional part | $134.90 | $302.00 | $380.19 |
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 $363.08 Median $912.01 Typical High $2,454.71 | Professional | None (both parts) | $363.08 | $912.01 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $131.83 Typical High $338.84 | Professional | 26 · Professional part | $52.48 | $131.83 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $794.33 Typical High $2,137.96 | Professional | TC · Technical part | $309.03 | $794.33 | $2,137.96 |
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 $234.42 Median $234.42 Typical High $1,698.24 | Professional | 52 · Reduced service | $234.42 | $234.42 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $676.08 | Professional | 53 · Discontinued | $93.33 | $93.33 | $676.08 |
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 3.8 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
$1,023
AK $1,047FL $275
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.