How much rates vary
Facilitymedian $468 · 10th to 90th $186 to $1,479Professionalmedian $562 · 10th to 90th $186 to $1,445
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 $251.19 Typical High $251.19 | Facility | None | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $1,905.46 | Professional | None (both parts) | $251.19 | $251.19 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $316.23 | Professional | 26 · Professional part | $33.88 | $33.88 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $707.95 Typical High $1,584.89 | Professional | None (both parts) | $169.82 | $707.95 | $1,584.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $91.20 Typical High $199.53 | Professional | 26 · Professional part | $22.39 | $91.20 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $616.60 Typical High $1,380.38 | Professional | TC · Technical part | $147.91 | $616.60 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $794.33 | Facility | None | $467.74 | $524.81 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $239.88 | $616.60 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $32.36 | $81.28 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $208.93 | $537.03 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $1,348.96 Typical High $1,819.70 | Facility | None | $186.21 | $1,348.96 | $1,819.70 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $1,445.44 Typical High $1,819.70 | Facility | TC · Technical part | $1,148.15 | $1,445.44 | $1,819.70 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $338.84 | $389.05 | $489.78 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $1,023.29 | Facility | None | $151.36 | $199.53 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $489.78 Typical High $1,148.15 | Professional | None (both parts) | $204.17 | $489.78 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $64.57 Typical High $141.25 | Professional | 26 · Professional part | $26.92 | $64.57 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $173.78 | $436.52 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $446.68 | Facility | None | $275.42 | $275.42 | $446.68 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $676.08 | Professional | None (both parts) | $257.04 | $416.87 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $354.81 | Facility | None | $151.36 | $186.21 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $758.58 | Professional | None | $186.21 | $389.05 | $758.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $660.69 | Professional | None (both parts) | $239.88 | $239.88 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $87.10 | Professional | 26 · Professional part | $32.36 | $32.36 | $87.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $575.44 | Professional | TC · Technical part | $208.93 | $208.93 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,148.15 Typical High $1,445.44 | Professional | None (both parts) | $489.78 | $1,148.15 | $1,445.44 |
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 $194.98 Median $489.78 Typical High $1,318.26 | Professional | None (both parts) | $194.98 | $489.78 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $25.70 | $64.57 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $426.58 Typical High $1,148.15 | Professional | TC · Technical part | $169.82 | $426.58 | $1,148.15 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $186.21 Median $229.09 Typical High $288.40 | Facility | 80 · Assistant surgeon | $186.21 | $229.09 | $288.40 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $229.09 Typical High $288.40 | Facility | 81 · Minimal assistant surgeon | $186.21 | $229.09 | $288.40 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $229.09 Typical High $288.40 | Facility | 82 · Assistant surgeon, no resident | $186.21 | $229.09 | $288.40 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $162.18 Median $199.53 Typical High $257.04 | Facility | AS · PA/NP assist | $162.18 | $199.53 | $257.04 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$550
AK $676FL $151
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.