How much rates vary
Facilitymedian $741 · 10th to 90th $245 to $2,089Professionalmedian $912 · 10th to 90th $302 to $2,239
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 $407.38 Typical High $407.38 | Facility | None | $199.53 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $4,677.35 | Professional | None (both parts) | $407.38 | $407.38 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $851.14 | Professional | 26 · Professional part | $57.54 | $57.54 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $346.74 | $346.74 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,148.15 Typical High $2,570.40 | Professional | None (both parts) | $269.15 | $1,148.15 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $158.49 Typical High $338.84 | Professional | 26 · Professional part | $38.02 | $158.49 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $977.24 Typical High $2,238.72 | Professional | TC · Technical part | $234.42 | $977.24 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Facility | None | $741.31 | $831.76 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $977.24 Typical High $1,548.82 | Professional | None (both parts) | $389.05 | $977.24 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $54.95 | $138.04 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $851.14 Typical High $1,348.96 | Professional | TC · Technical part | $331.13 | $851.14 | $1,348.96 |
DeanCare Setting Facility Modifier None Typical Low $302.00 Median $1,905.46 Typical High $2,570.40 | Facility | None | $302.00 | $1,905.46 | $2,570.40 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $2,041.74 Typical High $2,570.40 | Facility | TC · Technical part | $1,621.81 | $2,041.74 | $2,570.40 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $537.03 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $537.03 | $630.96 | $794.33 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $316.23 Typical High $1,380.38 | Facility | None | $245.47 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $812.83 Typical High $1,862.09 | Professional | None (both parts) | $331.13 | $812.83 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $46.77 | $109.65 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $691.83 Typical High $1,621.81 | Professional | TC · Technical part | $281.84 | $691.83 | $1,621.81 |
Network Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $724.44 | Facility | None | $457.09 | $457.09 | $724.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $691.83 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $691.83 | $1,096.48 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $575.44 | Facility | None | $245.47 | $302.00 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $1,202.26 | Professional | None | $295.12 | $616.60 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $389.05 | $1,071.52 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $54.95 | $147.91 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $912.01 | Professional | TC · Technical part | $331.13 | $331.13 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,862.09 Typical High $2,344.23 | Professional | None (both parts) | $812.83 | $1,862.09 | $2,344.23 |
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 $316.23 Median $812.83 Typical High $2,137.96 | Professional | None (both parts) | $316.23 | $812.83 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $109.65 Typical High $288.40 | Professional | 26 · Professional part | $43.65 | $109.65 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $691.83 Typical High $1,862.09 | Professional | TC · Technical part | $269.15 | $691.83 | $1,862.09 |
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 $263.03 Median $323.59 Typical High $407.38 | Facility | 80 · Assistant surgeon | $263.03 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $263.03 Median $323.59 Typical High $407.38 | Facility | 81 · Minimal assistant surgeon | $263.03 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $263.03 Median $323.59 Typical High $407.38 | Facility | 82 · Assistant surgeon, no resident | $263.03 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $229.09 Median $281.84 Typical High $354.81 | Facility | AS · PA/NP assist | $229.09 | $281.84 | $354.81 |
Where Wisconsin sits
The same service costs 4.4 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
$891
AK $1,096TX $251
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.