How much rates vary
Facilitymedian $562 · 10th to 90th $200 to $1,905Professionalmedian $676 · 10th to 90th $229 to $1,698
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 $281.84 Median $309.03 Typical High $2,238.72 | Professional | None (both parts) | $281.84 | $309.03 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $630.96 | Professional | 26 · Professional part | $48.98 | $69.18 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $229.09 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $851.14 Typical High $1,949.84 | Professional | None (both parts) | $204.17 | $851.14 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $186.21 Typical High $398.11 | Professional | 26 · Professional part | $44.67 | $186.21 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $676.08 Typical High $1,548.82 | Professional | TC · Technical part | $162.18 | $676.08 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $954.99 | Facility | None | $562.34 | $645.65 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $295.12 | $758.58 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $162.18 Typical High $257.04 | Professional | 26 · Professional part | $66.07 | $162.18 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $229.09 | $588.84 | $933.25 |
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 $186.21 Median $245.47 Typical High $1,023.29 | Facility | None | $186.21 | $245.47 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $602.56 Typical High $1,479.11 | Professional | None (both parts) | $269.15 | $602.56 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $128.82 Typical High $331.13 | Professional | 26 · Professional part | $54.95 | $128.82 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $478.63 Typical High $1,230.27 | Professional | TC · Technical part | $208.93 | $478.63 | $1,230.27 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $478.63 | Facility | None | $338.84 | $338.84 | $478.63 |
Network Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $316.23 | $512.86 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $436.52 | Facility | None | $186.21 | $229.09 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $912.01 | Professional | None | $229.09 | $524.81 | $912.01 |
Quartz Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $812.83 | Professional | None (both parts) | $295.12 | $295.12 | $812.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $66.07 | $173.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $229.09 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Security Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $645.65 | $1,348.96 | $1,778.28 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $302.00 Typical High $371.54 | Professional | 26 · Professional part | $79.43 | $302.00 | $371.54 |
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 $234.42 Median $602.56 Typical High $1,621.81 | Professional | None (both parts) | $234.42 | $602.56 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $128.82 Typical High $331.13 | Professional | 26 · Professional part | $52.48 | $128.82 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $478.63 Typical High $1,288.25 | Professional | TC · Technical part | $186.21 | $478.63 | $1,288.25 |
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 $1,122.02 | Professional | 52 · Reduced service | $154.88 | $154.88 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $446.68 | Professional | 53 · Discontinued | $61.66 | $61.66 | $446.68 |
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 3.5 times more in Wisconsin 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· 1st of 51
$676
WI $676TX $191
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.