How much rates vary
Facilitymedian $457 · 10th to 90th $186 to $933Professionalmedian $537 · 10th to 90th $186 to $1,349
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 $1,862.09 | Professional | None (both parts) | $251.19 | $251.19 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $288.40 | Professional | 26 · Professional part | $30.90 | $30.90 | $288.40 |
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 $162.18 Median $691.83 Typical High $1,412.54 | Professional | None (both parts) | $162.18 | $691.83 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $83.18 Typical High $181.97 | Professional | 26 · Professional part | $19.95 | $83.18 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $602.56 Typical High $1,380.38 | Professional | TC · Technical part | $144.54 | $602.56 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $512.86 Typical High $776.25 | Facility | None | $457.09 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $602.56 Typical High $954.99 | Professional | None (both parts) | $239.88 | $602.56 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $29.51 | $74.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $524.81 Typical High $831.76 | Professional | TC · Technical part | $208.93 | $524.81 | $831.76 |
DeanCare Setting Facility Modifier None Typical Low $186.21 Median $707.95 Typical High $977.24 | Facility | None | $186.21 | $707.95 | $977.24 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $758.58 Typical High $977.24 | Facility | TC · Technical part | $616.60 | $758.58 | $977.24 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $331.13 | $389.05 | $478.63 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $1,023.29 | Facility | None | $147.91 | $194.98 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $478.63 Typical High $1,122.02 | Professional | None (both parts) | $194.98 | $478.63 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $58.88 Typical High $151.36 | Professional | 26 · Professional part | $24.55 | $58.88 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $173.78 | $426.58 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Facility | None | $275.42 | $275.42 | $380.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $257.04 | $416.87 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $346.74 | Facility | None | $147.91 | $186.21 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $426.58 Typical High $741.31 | Professional | None | $186.21 | $426.58 | $741.31 |
Quartz Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $239.88 | $239.88 | $645.65 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $29.51 | $77.62 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $208.93 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,071.52 Typical High $1,412.54 | Professional | None (both parts) | $489.78 | $1,071.52 | $1,412.54 |
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 $190.55 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $190.55 | $489.78 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $58.88 Typical High $151.36 | Professional | 26 · Professional part | $23.44 | $58.88 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $426.58 Typical High $1,148.15 | Professional | TC · Technical part | $165.96 | $426.58 | $1,148.15 |
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 $125.89 Median $125.89 Typical High $933.25 | Professional | 52 · Reduced service | $125.89 | $125.89 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $371.54 | Professional | 53 · Discontinued | $50.12 | $50.12 | $371.54 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $97.72 Median $123.03 Typical High $154.88 | Facility | 80 · Assistant surgeon | $97.72 | $123.03 | $154.88 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $123.03 Typical High $154.88 | Facility | 81 · Minimal assistant surgeon | $97.72 | $123.03 | $154.88 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $123.03 Typical High $154.88 | Facility | 82 · Assistant surgeon, no resident | $97.72 | $123.03 | $154.88 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $87.10 Median $107.15 Typical High $134.90 | Facility | AS · PA/NP assist | $87.10 | $107.15 | $134.90 |
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· 3rd of 51
$537
AK $676TX $145
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.