How much rates vary
Facilitymedian $5,495 · 10th to 90th $200 to $12,303Professionalmedian $3,090 · 10th to 90th $661 to $12,023
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 $15,488.17 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $15,488.17 |
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 $630.96 Median $2,630.27 Typical High $6,309.57 | Professional | None (both parts) | $630.96 | $2,630.27 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $380.19 Typical High $933.25 | Professional | 26 · Professional part | $91.20 | $380.19 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $2,238.72 Typical High $5,370.32 | Professional | TC · Technical part | $537.03 | $2,238.72 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $6,309.57 Typical High $9,332.54 | Facility | None | $5,495.41 | $6,309.57 | $9,332.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $3,890.45 Typical High $8,128.31 | Professional | None (both parts) | $954.99 | $3,890.45 | $8,128.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $338.84 Typical High $524.81 | Professional | 26 · Professional part | $138.04 | $338.84 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $3,715.35 Typical High $7,762.47 | Professional | TC · Technical part | $831.76 | $3,715.35 | $7,762.47 |
DeanCare Setting Facility Modifier None Typical Low $2,238.72 Median $11,220.18 Typical High $15,135.61 | Facility | None | $2,238.72 | $11,220.18 | $15,135.61 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $1,548.82 | Professional | None (both parts) | $213.80 | $213.80 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $2,238.72 Typical High $4,786.30 | Facility | None | $89.13 | $2,238.72 | $4,786.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $6,309.57 Typical High $11,748.98 | Professional | None (both parts) | $2,884.03 | $6,309.57 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $257.04 Typical High $436.52 | Professional | 26 · Professional part | $107.15 | $257.04 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $6,165.95 Typical High $11,481.54 | Professional | TC · Technical part | $2,884.03 | $6,165.95 | $11,481.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $251.19 | Professional | 26 · Professional part | $134.90 | $134.90 | $251.19 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $2,238.72 Typical High $3,981.07 | Facility | None | $89.13 | $2,238.72 | $3,981.07 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $1,548.82 Typical High $2,137.96 | Professional | None | $758.58 | $1,548.82 | $2,137.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $954.99 | $954.99 | $1,258.93 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $138.04 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Security Health Setting Professional Modifier None (both parts) Typical Low $11,220.18 Median $12,589.25 Typical High $15,488.17 | Professional | None (both parts) | $11,220.18 | $12,589.25 | $15,488.17 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $7,079.46 Typical High $12,022.64 | Professional | None (both parts) | $2,344.23 | $7,079.46 | $12,022.64 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $251.19 Typical High $426.58 | Professional | 26 · Professional part | $97.72 | $251.19 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $6,760.83 Typical High $11,481.54 | Professional | TC · Technical part | $2,238.72 | $6,760.83 | $11,481.54 |
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 $1,548.82 Median $1,905.46 Typical High $2,398.83 | Facility | 80 · Assistant surgeon | $1,548.82 | $1,905.46 | $2,398.83 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Facility | 81 · Minimal assistant surgeon | $1,548.82 | $1,905.46 | $2,398.83 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Facility | 82 · Assistant surgeon, no resident | $1,548.82 | $1,905.46 | $2,398.83 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $1,348.96 Median $1,659.59 Typical High $2,137.96 | Facility | AS · PA/NP assist | $1,348.96 | $1,659.59 | $2,137.96 |
Where Wisconsin sits
The same service costs 20.0 times more in Nebraska than in Washington. 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· 8th of 51
$3,090
NE $4,169WA $209
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.