How much rates vary
Facilitymedian $676 · 10th to 90th $224 to $1,549Professionalmedian $813 · 10th to 90th $275 to $1,995
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 $371.54 Typical High $371.54 | Facility | None | $199.53 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $2,398.83 | Professional | None (both parts) | $371.54 | $371.54 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $489.78 | Professional | 26 · Professional part | $58.88 | $58.88 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,047.13 Typical High $1,995.26 | Professional | None (both parts) | $245.47 | $1,047.13 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $158.49 Typical High $338.84 | Professional | 26 · Professional part | $38.02 | $158.49 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $208.93 | $870.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,148.15 | Facility | None | $676.08 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $354.81 | $891.25 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $56.23 | $138.04 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $1,202.26 | Professional | TC · Technical part | $302.00 | $758.58 | $1,202.26 |
DeanCare Setting Facility Modifier None Typical Low $275.42 Median $1,412.54 Typical High $1,905.46 | Facility | None | $275.42 | $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 $489.78 Median $575.44 Typical High $741.31 | Professional | None (both parts) | $489.78 | $575.44 | $741.31 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $489.78 Typical High $1,258.93 | Facility | None | $229.09 | $489.78 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $707.95 Typical High $1,698.24 | Professional | None (both parts) | $288.40 | $707.95 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $109.65 Typical High $281.84 | Professional | 26 · Professional part | $46.77 | $109.65 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $602.56 Typical High $1,445.44 | Professional | TC · Technical part | $245.47 | $602.56 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Facility | None | $416.87 | $416.87 | $489.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $389.05 | $524.81 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $537.03 | Facility | None | $223.87 | $275.42 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $616.60 Typical High $1,096.48 | Professional | None | $269.15 | $616.60 | $1,096.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $977.24 | Professional | None (both parts) | $354.81 | $354.81 | $977.24 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $56.23 | $147.91 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $831.76 | Professional | TC · Technical part | $302.00 | $302.00 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,548.82 Typical High $2,187.76 | Professional | None (both parts) | $616.60 | $1,548.82 | $2,187.76 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $251.19 Typical High $316.23 | Professional | 26 · Professional part | $114.82 | $251.19 | $316.23 |
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 $257.04 Median $724.44 Typical High $1,995.26 | Professional | None (both parts) | $257.04 | $724.44 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $109.65 Typical High $281.84 | Professional | 26 · Professional part | $44.67 | $109.65 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $602.56 Typical High $1,698.24 | Professional | TC · Technical part | $208.93 | $602.56 | $1,698.24 |
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 $186.21 Median $186.21 Typical High $1,202.26 | Professional | 52 · Reduced service | $186.21 | $186.21 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $478.63 | Professional | 53 · Discontinued | $74.13 | $74.13 | $478.63 |
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 5.0 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
$813
AK $1,000KY $200
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.