How much rates vary
Facilitymedian $437 · 10th to 90th $178 to $1,862Professionalmedian $550 · 10th to 90th $182 to $1,288
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 $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $1,174.90 | Professional | None (both parts) | $239.88 | $239.88 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $407.38 | Professional | 26 · Professional part | $69.18 | $69.18 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $676.08 Typical High $1,479.11 | Professional | None (both parts) | $162.18 | $676.08 | $1,479.11 |
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 $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 $436.52 Median $501.19 Typical High $741.31 | Facility | None | $436.52 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $234.42 | $588.84 | $933.25 |
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 $165.96 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $165.96 | $426.58 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $1,659.59 Typical High $2,290.87 | Facility | None | $177.83 | $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 $323.59 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $323.59 | $371.54 | $457.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $1,380.38 | Facility | None | $144.54 | $190.55 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $208.93 | $467.74 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $128.82 Typical High $331.13 | Professional | 26 · Professional part | $56.23 | $128.82 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $371.54 Typical High $912.01 | Professional | TC · Technical part | $147.91 | $371.54 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $245.47 | $398.11 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $338.84 | Facility | None | $144.54 | $177.83 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $416.87 Typical High $776.25 | Professional | None | $181.97 | $416.87 | $776.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $234.42 | $234.42 | $630.96 |
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 $165.96 Median $165.96 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $165.96 | $457.09 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Security Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $588.84 | $1,071.52 | $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 $1,230.27 | Professional | None (both parts) | $181.97 | $467.74 | $1,230.27 |
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 $131.83 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $131.83 | $346.74 | $912.01 |
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 $120.23 Median $120.23 Typical High $588.84 | Professional | 52 · Reduced service | $120.23 | $120.23 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $234.42 | Professional | 53 · Discontinued | $48.98 | $48.98 | $234.42 |
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 4.8 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
$537
AK $676TX $141
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.