How much rates vary
Facilitymedian $575 · 10th to 90th $200 to $1,862Professionalmedian $692 · 10th to 90th $234 to $1,778
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 $316.23 Typical High $316.23 | Facility | None | $199.53 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $2,398.83 | Professional | None (both parts) | $316.23 | $316.23 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $812.83 | Professional | 26 · Professional part | $83.18 | $83.18 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $208.93 | $870.96 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $223.87 Typical High $489.78 | Professional | 26 · Professional part | $53.70 | $223.87 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $645.65 Typical High $1,318.26 | Professional | TC · Technical part | $151.36 | $645.65 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $977.24 | Facility | None | $575.44 | $645.65 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $758.58 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $199.53 Typical High $316.23 | Professional | 26 · Professional part | $79.43 | $199.53 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $562.34 Typical High $891.25 | Professional | TC · Technical part | $218.78 | $562.34 | $891.25 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $1,659.59 Typical High $2,290.87 | Facility | None | $234.42 | $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 $416.87 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $416.87 | $489.78 | $588.84 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $1,023.29 | Facility | None | $186.21 | $251.19 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $602.56 Typical High $1,584.89 | Professional | None (both parts) | $263.03 | $602.56 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $154.88 Typical High $407.38 | Professional | 26 · Professional part | $66.07 | $154.88 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $489.78 Typical High $1,174.90 | Professional | TC · Technical part | $194.98 | $489.78 | $1,174.90 |
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 $501.19 Typical High $812.83 | Professional | None (both parts) | $316.23 | $501.19 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $436.52 | Facility | None | $186.21 | $234.42 | $436.52 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $537.03 Typical High $933.25 | Professional | None | $234.42 | $537.03 | $933.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $812.83 | Professional | None (both parts) | $302.00 | $302.00 | $812.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $213.80 | Professional | 26 · Professional part | $79.43 | $79.43 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $218.78 | $602.56 |
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 $588.84 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $588.84 | $1,348.96 | $1,778.28 |
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 $1,584.89 | Professional | None (both parts) | $234.42 | $602.56 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $154.88 Typical High $407.38 | Professional | 26 · Professional part | $63.10 | $154.88 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $457.09 Typical High $1,174.90 | Professional | TC · Technical part | $173.78 | $457.09 | $1,174.90 |
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 $158.49 Median $158.49 Typical High $1,202.26 | Professional | 52 · Reduced service | $158.49 | $158.49 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $478.63 | Professional | 53 · Discontinued | $63.10 | $63.10 | $478.63 |
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
$676
AK $851TX $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.