How much rates vary
Facilitymedian $562 · 10th to 90th $200 to $1,862Professionalmedian $692 · 10th to 90th $224 to $1,622
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 $309.03 Typical High $309.03 | Facility | None | $199.53 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $2,691.53 | Professional | None (both parts) | $309.03 | $309.03 | $2,691.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $724.44 | Professional | 26 · Professional part | $64.57 | $64.57 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $831.76 Typical High $1,862.09 | Professional | None (both parts) | $199.53 | $831.76 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $173.78 Typical High $380.19 | Professional | 26 · Professional part | $41.69 | $173.78 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $660.69 Typical High $1,479.11 | Professional | TC · Technical part | $158.49 | $660.69 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $954.99 | Facility | None | $562.34 | $630.96 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $741.31 Typical High $1,148.15 | Professional | None (both parts) | $295.12 | $741.31 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $61.66 | $154.88 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $588.84 Typical High $912.01 | Professional | TC · Technical part | $229.09 | $588.84 | $912.01 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,659.59 Typical High $2,290.87 | Facility | None | $229.09 | $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 $407.38 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $407.38 | $478.63 | $602.56 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $1,380.38 | Facility | None | $181.97 | $239.88 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $588.84 Typical High $1,380.38 | Professional | None (both parts) | $263.03 | $588.84 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $120.23 Typical High $316.23 | Professional | 26 · Professional part | $52.48 | $120.23 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $467.74 Typical High $1,174.90 | Professional | TC · Technical part | $208.93 | $467.74 | $1,174.90 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $467.74 | Facility | None | $331.13 | $331.13 | $467.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $812.83 | Professional | None (both parts) | $309.03 | $512.86 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $426.58 | Facility | None | $181.97 | $229.09 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $512.86 Typical High $891.25 | Professional | None | $223.87 | $512.86 | $891.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $295.12 | $295.12 | $794.33 |
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 $229.09 Median $229.09 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $229.09 | $616.60 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,318.26 Typical High $1,698.24 | Professional | None (both parts) | $602.56 | $1,318.26 | $1,698.24 |
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 $234.42 Median $588.84 Typical High $1,621.81 | Professional | None (both parts) | $234.42 | $588.84 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $120.23 Typical High $316.23 | Professional | 26 · Professional part | $48.98 | $120.23 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $1,318.26 | Professional | TC · Technical part | $186.21 | $467.74 | $1,318.26 |
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 $154.88 Median $154.88 Typical High $1,348.96 | Professional | 52 · Reduced service | $154.88 | $154.88 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $537.03 | Professional | 53 · Discontinued | $61.66 | $61.66 | $537.03 |
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 4.6 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· 3rd of 51
$661
AK $832TX $182
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.