How much rates vary
Facilitymedian $468 · 10th to 90th $191 to $1,862Professionalmedian $550 · 10th to 90th $191 to $1,380
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 $257.04 Typical High $257.04 | Facility | None | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $1,862.09 | Professional | None (both parts) | $257.04 | $257.04 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $501.19 | Professional | 26 · Professional part | $54.95 | $54.95 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $707.95 Typical High $1,548.82 | Professional | None (both parts) | $169.82 | $707.95 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $144.54 Typical High $316.23 | Professional | 26 · Professional part | $34.67 | $144.54 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $562.34 Typical High $1,230.27 | Professional | TC · Technical part | $134.90 | $562.34 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $794.33 | Facility | None | $467.74 | $524.81 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $245.47 | $616.60 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $52.48 | $128.82 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $489.78 Typical High $776.25 | Professional | TC · Technical part | $194.98 | $489.78 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $1,659.59 Typical High $2,290.87 | Facility | None | $190.55 | $1,659.59 | $2,290.87 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,445.44 Median $1,778.28 Typical High $2,290.87 | Facility | TC · Technical part | $1,445.44 | $1,778.28 | $2,290.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $338.84 | $398.11 | $478.63 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $1,023.29 | Facility | None | $151.36 | $204.17 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $478.63 Typical High $1,148.15 | Professional | None (both parts) | $199.53 | $478.63 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $102.33 Typical High $263.03 | Professional | 26 · Professional part | $43.65 | $102.33 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $380.19 Typical High $933.25 | Professional | TC · Technical part | $158.49 | $380.19 | $933.25 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Facility | None | $275.42 | $275.42 | $380.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $257.04 | $407.38 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $346.74 | Facility | None | $151.36 | $190.55 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $758.58 | Professional | None | $190.55 | $398.11 | $758.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $245.47 | $245.47 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $52.48 | $138.04 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $194.98 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $478.63 | $1,096.48 | $1,445.44 |
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 $190.55 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $190.55 | $489.78 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $40.74 | $100.00 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $389.05 Typical High $1,023.29 | Professional | TC · Technical part | $151.36 | $389.05 | $1,023.29 |
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 $128.82 Median $128.82 Typical High $912.01 | Professional | 52 · Reduced service | $128.82 | $128.82 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $371.54 | Professional | 53 · Discontinued | $51.29 | $51.29 | $371.54 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 80 · Assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 81 · Minimal assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 82 · Assistant surgeon, no resident | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $204.17 Median $251.19 Typical High $316.23 | Facility | AS · PA/NP assist | $204.17 | $251.19 | $316.23 |
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· 3rd of 51
$550
AK $562FL $148
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.