How much rates vary
Facilitymedian $851 · 10th to 90th $282 to $1,622Professionalmedian $1,023 · 10th to 90th $347 to $2,455
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 $354.81 Median $467.74 Typical High $2,398.83 | Professional | None (both parts) | $354.81 | $467.74 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $602.56 | Professional | 26 · Professional part | $48.98 | $72.44 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $281.84 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,288.25 Typical High $2,951.21 | Professional | None (both parts) | $309.03 | $1,288.25 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $194.98 Typical High $416.87 | Professional | 26 · Professional part | $46.77 | $194.98 | $416.87 |
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 $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 $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $446.68 | $1,122.02 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $169.82 Typical High $269.15 | Professional | 26 · Professional part | $69.18 | $169.82 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $954.99 Typical High $1,513.56 | Professional | TC · Technical part | $380.19 | $954.99 | $1,513.56 |
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 $288.40 Median $616.60 Typical High $1,412.54 | Facility | None | $288.40 | $616.60 | $1,412.54 |
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 $56.23 Median $134.90 Typical High $346.74 | Professional | 26 · Professional part | $56.23 | $134.90 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $758.58 Typical High $1,819.70 | Professional | TC · Technical part | $316.23 | $758.58 | $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 $478.63 Median $776.25 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $776.25 | $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 $707.95 Typical High $1,380.38 | Professional | None | $338.84 | $707.95 | $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 $69.18 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $69.18 | $181.97 |
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 $912.01 Median $2,041.74 Typical High $2,691.53 | Professional | None (both parts) | $912.01 | $2,041.74 | $2,691.53 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,862.09 Typical High $2,691.53 | Professional | None (both parts) | $912.01 | $1,862.09 | $2,691.53 |
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 $354.81 Median $912.01 Typical High $2,454.71 | Professional | None (both parts) | $354.81 | $912.01 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $346.74 | Professional | 26 · Professional part | $53.70 | $134.90 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $776.25 Typical High $2,089.30 | Professional | TC · Technical part | $302.00 | $776.25 | $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 $234.42 Median $234.42 Typical High $1,202.26 | Professional | 52 · Reduced service | $234.42 | $234.42 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $478.63 | Professional | 53 · Discontinued | $93.33 | $93.33 | $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 4.7 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
$1,000
AK $1,288KY $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.