How much rates vary
Facilitymedian $525 · 10th to 90th $200 to $1,549Professionalmedian $603 · 10th to 90th $204 to $1,514
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 $288.40 Typical High $288.40 | Facility | None | $199.53 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $1,659.59 | Professional | None (both parts) | $288.40 | $288.40 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $467.74 | Professional | 26 · Professional part | $64.57 | $64.57 | $467.74 |
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 $186.21 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $186.21 | $794.33 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $173.78 Typical High $338.84 | Professional | 26 · Professional part | $41.69 | $173.78 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $616.60 Typical High $1,230.27 | Professional | TC · Technical part | $147.91 | $616.60 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $891.25 | Facility | None | $524.81 | $588.84 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $275.42 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $61.66 | $151.36 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $213.80 | $537.03 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $1,380.38 Typical High $1,905.46 | Facility | None | $213.80 | $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 $380.19 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $380.19 | $446.68 | $537.03 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $1,023.29 | Facility | None | $169.82 | $223.87 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $537.03 Typical High $1,445.44 | Professional | None (both parts) | $223.87 | $537.03 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $51.29 | $120.23 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $1,047.13 | Professional | TC · Technical part | $173.78 | $426.58 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Facility | None | $309.03 | $309.03 | $389.05 |
Network Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $288.40 | $457.09 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $213.80 Typical High $389.05 | Facility | None | $169.82 | $213.80 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $457.09 Typical High $831.76 | Professional | None | $204.17 | $457.09 | $831.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $741.31 | Professional | None (both parts) | $275.42 | $275.42 | $741.31 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $61.66 | $162.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $213.80 | $575.44 |
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 $537.03 Median $1,202.26 Typical High $1,584.89 | Professional | None (both parts) | $537.03 | $1,202.26 | $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 $213.80 Median $549.54 Typical High $1,445.44 | Professional | None (both parts) | $213.80 | $549.54 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $120.23 Typical High $309.03 | Professional | 26 · Professional part | $46.77 | $120.23 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $165.96 | $426.58 | $1,122.02 |
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 $141.25 Median $141.25 Typical High $831.76 | Professional | 52 · Reduced service | $141.25 | $141.25 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $331.13 | Professional | 53 · Discontinued | $57.54 | $57.54 | $331.13 |
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 5.0 times more in Alaska 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· 2nd of 51
$603
AK $776TX $155
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.