How much rates vary
Facilitymedian $468 · 10th to 90th $191 to $1,549Professionalmedian $603 · 10th to 90th $191 to $1,318
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 $977.24 | Professional | None (both parts) | $257.04 | $257.04 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $173.78 | Professional | 26 · Professional part | $35.48 | $35.48 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $190.55 | $794.33 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $22.91 | $97.72 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $660.69 Typical High $1,348.96 | Professional | TC · Technical part | $165.96 | $660.69 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $537.03 Typical High $794.33 | Facility | None | $467.74 | $537.03 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $676.08 Typical High $1,071.52 | Professional | None (both parts) | $245.47 | $676.08 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $33.88 | $85.11 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $213.80 | $588.84 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $1,380.38 Typical High $1,905.46 | Facility | None | $190.55 | $1,380.38 | $1,905.46 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $1,905.46 | Facility | TC · Technical part | $1,202.26 | $1,479.11 | $1,905.46 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $338.84 | $398.11 | $489.78 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $1,023.29 | Facility | None | $158.49 | $204.17 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $501.19 Typical High $1,288.25 | Professional | None (both parts) | $177.83 | $501.19 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $28.18 | $66.07 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $436.52 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $354.81 | Facility | None | $302.00 | $302.00 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $676.08 | Professional | None (both parts) | $281.84 | $407.38 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $354.81 | Facility | None | $158.49 | $190.55 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $812.83 | Professional | None | $186.21 | $389.05 | $812.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $741.31 | Professional | None (both parts) | $245.47 | $245.47 | $741.31 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $91.20 | Professional | 26 · Professional part | $33.88 | $33.88 | $91.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $213.80 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,174.90 Typical High $1,584.89 | Professional | None (both parts) | $478.63 | $1,174.90 | $1,584.89 |
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 $173.78 Median $512.86 Typical High $1,318.26 | Professional | None (both parts) | $173.78 | $512.86 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $26.30 | $66.07 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $446.68 Typical High $1,148.15 | Professional | TC · Technical part | $138.04 | $446.68 | $1,148.15 |
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 $489.78 | Professional | 52 · Reduced service | $128.82 | $128.82 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $194.98 | Professional | 53 · Discontinued | $51.29 | $51.29 | $194.98 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 80 · Assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 81 · Minimal assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 82 · Assistant surgeon, no resident | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $169.82 Median $208.93 Typical High $263.03 | Facility | AS · PA/NP assist | $169.82 | $208.93 | $263.03 |
Where Wisconsin sits
The same service costs 5.5 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
$575
AK $759KY $138
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.