How much rates vary
Facilitymedian $417 · 10th to 90th $170 to $1,549Professionalmedian $537 · 10th to 90th $186 to $1,349
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 $229.09 Typical High $229.09 | Facility | None | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $1,949.84 | Professional | None (both parts) | $229.09 | $229.09 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $537.03 | Professional | 26 · Professional part | $51.29 | $51.29 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $616.60 Typical High $1,513.56 | Professional | None (both parts) | $147.91 | $616.60 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $138.04 Typical High $316.23 | Professional | 26 · Professional part | $32.36 | $138.04 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $489.78 Typical High $1,096.48 | Professional | TC · Technical part | $114.82 | $489.78 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $707.95 | Facility | None | $416.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $218.78 | $549.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $48.98 | $120.23 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $173.78 | $426.58 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $1,380.38 Typical High $1,905.46 | Facility | None | $169.82 | $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 $302.00 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $302.00 | $354.81 | $501.19 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $1,380.38 | Facility | None | $134.90 | $181.97 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $457.09 Typical High $1,122.02 | Professional | None (both parts) | $190.55 | $457.09 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $42.66 | $100.00 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $363.08 Typical High $912.01 | Professional | TC · Technical part | $147.91 | $363.08 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $416.87 | Facility | None | $269.15 | $269.15 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $251.19 | $398.11 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $363.08 | Facility | None | $134.90 | $169.82 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $660.69 | Professional | None | $186.21 | $389.05 | $660.69 |
Quartz Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $588.84 | Professional | None (both parts) | $218.78 | $218.78 | $588.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $48.98 | $128.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $173.78 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $467.74 | $1,096.48 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $467.74 Typical High $1,348.96 | Professional | None (both parts) | $181.97 | $467.74 | $1,348.96 |
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 $144.54 Median $363.08 Typical High $1,096.48 | Professional | TC · Technical part | $144.54 | $363.08 | $1,096.48 |
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 $114.82 Median $114.82 Typical High $977.24 | Professional | 52 · Reduced service | $114.82 | $114.82 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $389.05 | Professional | 53 · Discontinued | $45.71 | $45.71 | $389.05 |
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 4.8 times more in Alabama than in Texas. 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
$525
AL $661TX $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.