How much rates vary
Facilitymedian $3,631 · 10th to 90th $200 to $6,607Professionalmedian $2,291 · 10th to 90th $575 to $6,457
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 $1,288.25 Typical High $1,288.25 | Facility | None | $199.53 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $11,220.18 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $11,220.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $912.01 | Professional | 26 · Professional part | $100.00 | $100.00 | $912.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $2,089.30 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $2,041.74 Typical High $4,897.79 | Professional | None (both parts) | $489.78 | $2,041.74 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $338.84 Typical High $812.83 | Professional | 26 · Professional part | $81.28 | $338.84 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,778.28 Typical High $4,073.80 | Professional | TC · Technical part | $407.38 | $1,778.28 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $4,073.80 Typical High $6,165.95 | Facility | None | $3,630.78 | $4,073.80 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $2,570.40 Typical High $5,128.61 | Professional | None (both parts) | $724.44 | $2,570.40 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $302.00 Typical High $478.63 | Professional | 26 · Professional part | $120.23 | $302.00 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $2,398.83 Typical High $4,786.30 | Professional | TC · Technical part | $602.56 | $2,398.83 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,445.44 | $5,754.40 | $7,762.47 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $5,011.87 Median $6,165.95 Typical High $7,762.47 | Facility | TC · Technical part | $5,011.87 | $6,165.95 | $7,762.47 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $2,818.38 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $1,548.82 Typical High $3,715.35 | Facility | None | $77.62 | $1,548.82 | $3,715.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $3,801.89 Typical High $8,128.31 | Professional | None (both parts) | $1,513.56 | $3,801.89 | $8,128.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $229.09 Typical High $478.63 | Professional | 26 · Professional part | $97.72 | $229.09 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $3,548.13 Typical High $6,025.60 | Professional | TC · Technical part | $1,445.44 | $3,548.13 | $6,025.60 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $3,801.89 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $1,445.44 Typical High $2,691.53 | Facility | None | $77.62 | $1,445.44 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $1,174.90 Typical High $2,398.83 | Professional | None | $575.44 | $1,174.90 | $2,398.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $2,570.40 | Professional | None (both parts) | $724.44 | $724.44 | $2,570.40 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $323.59 | Professional | 26 · Professional part | $120.23 | $120.23 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Security Health Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $7,244.36 Typical High $10,000.00 | Professional | None (both parts) | $6,456.54 | $7,244.36 | $10,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $501.19 Typical High $1,122.02 | Professional | 26 · Professional part | $147.91 | $501.19 | $1,122.02 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $891.25 Median $3,235.94 Typical High $3,801.89 | Professional | None (both parts) | $891.25 | $3,235.94 | $3,801.89 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $3,801.89 Typical High $6,456.54 | Professional | None (both parts) | $1,202.26 | $3,801.89 | $6,456.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $223.87 Typical High $380.19 | Professional | 26 · Professional part | $91.20 | $223.87 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $3,548.13 Typical High $6,025.60 | Professional | TC · Technical part | $1,071.52 | $3,548.13 | $6,025.60 |
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 $645.65 Median $645.65 Typical High $5,623.41 | Professional | 52 · Reduced service | $645.65 | $645.65 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $2,238.72 | Professional | 53 · Discontinued | $257.04 | $257.04 | $2,238.72 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 80 · Assistant surgeon | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 81 · Minimal assistant surgeon | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 82 · Assistant surgeon, no resident | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | AS · PA/NP assist | $691.83 | $870.96 | $1,096.48 |
Where Wisconsin sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 4th of 51
$2,291
NE $3,090WA $204
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.