How much rates vary
Facilitymedian $3,548 · 10th to 90th $200 to $6,761Professionalmedian $1,738 · 10th to 90th $389 to $5,129
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 $1,288.25 Typical High $1,288.25 | Facility | None | $199.53 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $2,089.30 Typical High $5,011.87 | Professional | None (both parts) | $501.19 | $2,089.30 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $309.03 Typical High $724.44 | Professional | 26 · Professional part | $72.44 | $309.03 | $724.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,819.70 Typical High $4,365.16 | Professional | TC · Technical part | $436.52 | $1,819.70 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $6,025.60 | Facility | None | $3,548.13 | $4,073.80 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $3,090.30 Typical High $5,128.61 | Professional | None (both parts) | $758.58 | $3,090.30 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $107.15 | $269.15 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $2,951.21 Typical High $4,786.30 | Professional | TC · Technical part | $645.65 | $2,951.21 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $6,025.60 Typical High $8,128.31 | Facility | None | $1,445.44 | $6,025.60 | $8,128.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $1,202.26 | Professional | None (both parts) | $173.78 | $173.78 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $1,445.44 Typical High $3,715.35 | Facility | None | $69.18 | $1,445.44 | $3,715.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $1,513.56 Typical High $6,309.57 | Professional | None (both parts) | $158.49 | $1,513.56 | $6,309.57 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $87.10 | $208.93 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $1,445.44 Typical High $6,025.60 | Professional | TC · Technical part | $18.62 | $1,445.44 | $6,025.60 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $109.65 | $109.65 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $69.18 Median $1,445.44 Typical High $2,691.53 | Facility | None | $69.18 | $1,445.44 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $1,202.26 Typical High $1,659.59 | Professional | None | $588.84 | $1,202.26 | $1,659.59 |
Quartz Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $1,513.56 | Professional | None (both parts) | $758.58 | $758.58 | $1,513.56 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $288.40 | Professional | 26 · Professional part | $107.15 | $107.15 | $288.40 |
Security Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Security Health Setting Professional Modifier None (both parts) Typical Low $7,244.36 Median $7,943.28 Typical High $9,772.37 | Professional | None (both parts) | $7,244.36 | $7,943.28 | $9,772.37 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,737.80 Typical High $6,456.54 | Professional | None (both parts) | $173.78 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $79.43 | $204.17 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $1,659.59 Typical High $6,025.60 | Professional | TC · Technical part | $23.44 | $1,659.59 | $6,025.60 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $831.76 Median $1,047.13 Typical High $1,318.26 | Facility | 80 · Assistant surgeon | $831.76 | $1,047.13 | $1,318.26 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $831.76 Median $1,047.13 Typical High $1,318.26 | Facility | 81 · Minimal assistant surgeon | $831.76 | $1,047.13 | $1,318.26 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $831.76 Median $1,047.13 Typical High $1,318.26 | Facility | 82 · Assistant surgeon, no resident | $831.76 | $1,047.13 | $1,318.26 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Facility | AS · PA/NP assist | $741.31 | $912.01 | $1,148.15 |
Where Wisconsin sits
The same service costs 14.1 times more in Nebraska than in South Carolina. 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· 11th of 51
$1,862
NE $2,692SC $191
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.