How much rates vary
Facilitymedian $4,365 · 10th to 90th $200 to $6,607Professionalmedian $2,455 · 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 $14,125.38 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $14,125.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $741.31 | Professional | 26 · Professional part | $100.00 | $100.00 | $741.31 |
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 $537.03 Median $2,238.72 Typical High $5,370.32 | Professional | None (both parts) | $537.03 | $2,238.72 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $281.84 Typical High $676.08 | Professional | 26 · Professional part | $67.61 | $281.84 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $1,949.84 Typical High $4,677.35 | Professional | TC · Technical part | $467.74 | $1,949.84 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,897.79 Typical High $7,413.10 | Facility | None | $4,365.16 | $4,897.79 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $3,090.30 Typical High $6,456.54 | Professional | None (both parts) | $794.33 | $3,090.30 | $6,456.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $245.47 Typical High $389.05 | Professional | 26 · Professional part | $100.00 | $245.47 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $2,951.21 Typical High $6,165.95 | Professional | TC · Technical part | $691.83 | $2,951.21 | $6,165.95 |
DeanCare Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $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 $1,318.26 Median $1,318.26 Typical High $3,467.37 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $1,862.09 Typical High $4,265.80 | Facility | None | $64.57 | $1,862.09 | $4,265.80 |
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 $81.28 Median $186.21 Typical High $354.81 | Professional | 26 · Professional part | $81.28 | $186.21 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $3,630.78 Typical High $6,025.60 | Professional | TC · Technical part | $1,513.56 | $3,630.78 | $6,025.60 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,715.35 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,715.35 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $1,737.80 Typical High $4,265.80 | Facility | None | $64.57 | $1,737.80 | $4,265.80 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,258.93 Typical High $2,570.40 | Professional | None | $616.60 | $1,258.93 | $2,570.40 |
Quartz Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $2,754.23 | Professional | None (both parts) | $794.33 | $794.33 | $2,754.23 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $263.03 | Professional | 26 · Professional part | $100.00 | $100.00 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Security Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $10,000.00 Typical High $12,022.64 | Professional | None (both parts) | $6,309.57 | $10,000.00 | $12,022.64 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $4,168.69 |
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 $1,380.38 Median $3,715.35 Typical High $6,309.57 | Professional | None (both parts) | $1,380.38 | $3,715.35 | $6,309.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $186.21 Typical High $316.23 | Professional | 26 · Professional part | $72.44 | $186.21 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $3,548.13 Typical High $6,025.60 | Professional | TC · Technical part | $1,318.26 | $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 $7,079.46 | Professional | 52 · Reduced service | $645.65 | $645.65 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $2,818.38 | Professional | 53 · Discontinued | $257.04 | $257.04 | $2,818.38 |
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 3.6 times more in Nebraska than in Montana. 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
$2,512
NE $3,162MT $871
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.