How much rates vary
Facilitymedian $832 · 10th to 90th $275 to $5,623Professionalmedian $1,000 · 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 $457.09 Typical High $457.09 | Facility | None | $199.53 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $2,818.38 | Professional | None (both parts) | $380.19 | $457.09 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $724.44 | Professional | 26 · Professional part | $67.61 | $95.50 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $295.12 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,288.25 Typical High $2,884.03 | Professional | None (both parts) | $302.00 | $1,288.25 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $61.66 | $263.03 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $1,023.29 Typical High $2,089.30 | Professional | TC · Technical part | $239.88 | $1,023.29 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,412.54 | Facility | None | $831.76 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $436.52 | $1,122.02 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $229.09 Typical High $363.08 | Professional | 26 · Professional part | $93.33 | $229.09 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $346.74 | $891.25 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $5,011.87 Typical High $6,918.31 | Facility | None | $338.84 | $5,011.87 | $6,918.31 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $5,370.32 Typical High $6,918.31 | Facility | TC · Technical part | $4,365.16 | $5,370.32 | $6,918.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $616.60 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $616.60 | $707.95 | $891.25 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $363.08 Typical High $3,311.31 | Facility | None | $275.42 | $363.08 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $891.25 Typical High $2,089.30 | Professional | None (both parts) | $380.19 | $891.25 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $194.98 Typical High $407.38 | Professional | 26 · Professional part | $75.86 | $194.98 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $707.95 Typical High $1,659.59 | Professional | TC · Technical part | $288.40 | $707.95 | $1,659.59 |
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 $758.58 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $758.58 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $645.65 | Facility | None | $275.42 | $338.84 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $724.44 Typical High $1,380.38 | Professional | None | $346.74 | $724.44 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,202.26 | Professional | None (both parts) | $436.52 | $436.52 | $1,202.26 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $93.33 | $93.33 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $954.99 | Professional | TC · Technical part | $346.74 | $346.74 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Security Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $2,041.74 Typical High $2,630.27 | Professional | None (both parts) | $891.25 | $2,041.74 | $2,630.27 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $549.54 Median $2,089.30 Typical High $2,454.71 | Professional | None (both parts) | $549.54 | $2,089.30 | $2,454.71 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $891.25 Typical High $2,398.83 | Professional | None (both parts) | $346.74 | $891.25 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $194.98 Typical High $467.74 | Professional | 26 · Professional part | $72.44 | $194.98 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $707.95 Typical High $1,949.84 | Professional | TC · Technical part | $275.42 | $707.95 | $1,949.84 |
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 $691.83 Median $870.96 Typical High $1,096.48 | Facility | 80 · Assistant surgeon | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | 81 · Minimal assistant surgeon | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | 82 · Assistant surgeon, no resident | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $616.60 Median $758.58 Typical High $954.99 | Facility | AS · PA/NP assist | $616.60 | $758.58 | $954.99 |
Where Wisconsin sits
The same service costs 3.6 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· 2nd of 51
$1,000
AK $1,023FL $282
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.