How much rates vary
Facilitymedian $501 · 10th to 90th $200 to $1,862Professionalmedian $589 · 10th to 90th $204 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 $275.42 Typical High $275.42 | Facility | None | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $275.42 | $275.42 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $218.78 | Professional | 26 · Professional part | $56.23 | $56.23 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $741.31 Typical High $1,513.56 | Professional | None (both parts) | $177.83 | $741.31 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $151.36 Typical High $323.59 | Professional | 26 · Professional part | $36.31 | $151.36 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $588.84 Typical High $1,348.96 | Professional | TC · Technical part | $141.25 | $588.84 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $831.76 | Facility | None | $501.19 | $562.34 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $204.17 | $524.81 | $831.76 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $1,659.59 Typical High $2,290.87 | Facility | None | $199.53 | $1,659.59 | $2,290.87 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,445.44 Median $1,778.28 Typical High $2,290.87 | Facility | TC · Technical part | $1,445.44 | $1,778.28 | $2,290.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $363.08 | $416.87 | $512.86 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $1,380.38 | Facility | None | $158.49 | $213.80 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $512.86 Typical High $1,318.26 | Professional | None (both parts) | $223.87 | $512.86 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $45.71 | $104.71 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $407.38 Typical High $977.24 | Professional | TC · Technical part | $177.83 | $407.38 | $977.24 |
Network Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Facility | None | $295.12 | $295.12 | $407.38 |
Network Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $275.42 | $436.52 | $741.31 |
Prevea360 Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $389.05 | Facility | None | $158.49 | $199.53 | $389.05 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $467.74 Typical High $794.33 | Professional | None | $204.17 | $467.74 | $794.33 |
Quartz Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $263.03 | $263.03 | $691.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $53.70 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $204.17 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,148.15 Typical High $1,548.82 | Professional | None (both parts) | $512.86 | $1,148.15 | $1,548.82 |
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 $199.53 Median $512.86 Typical High $1,348.96 | Professional | None (both parts) | $199.53 | $512.86 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $41.69 | $104.71 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $407.38 | $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 $134.90 Median $134.90 Typical High $416.87 | Professional | 52 · Reduced service | $134.90 | $134.90 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $169.82 | Professional | 53 · Discontinued | $54.95 | $54.95 | $169.82 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 80 · Assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 81 · Minimal assistant surgeon | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | 82 · Assistant surgeon, no resident | $234.42 | $288.40 | $363.08 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $204.17 Median $251.19 Typical High $316.23 | Facility | AS · PA/NP assist | $204.17 | $251.19 | $316.23 |
Where Wisconsin sits
The same service costs 4.7 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
$589
AK $741TX $158
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.