How much rates vary
Facilitymedian $832 · 10th to 90th $269 to $2,570Professionalmedian $1,000 · 10th to 90th $324 to $2,512
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 $457.09 Typical High $457.09 | Facility | None | $199.53 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $3,311.31 | Professional | None (both parts) | $457.09 | $457.09 | $3,311.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $436.52 | Professional | 26 · Professional part | $43.65 | $43.65 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,258.93 Typical High $2,884.03 | Professional | None (both parts) | $302.00 | $1,258.93 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $28.18 | $117.49 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $1,148.15 Typical High $2,630.27 | Professional | TC · Technical part | $275.42 | $1,148.15 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,412.54 | Facility | None | $831.76 | $933.25 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,096.48 Typical High $1,737.80 | Professional | None (both parts) | $436.52 | $1,096.48 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $41.69 | $104.71 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,000.00 Typical High $1,584.89 | Professional | TC · Technical part | $389.05 | $1,000.00 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $2,344.23 Typical High $3,162.28 | Facility | None | $338.84 | $2,344.23 | $3,162.28 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $2,041.74 Median $2,511.89 Typical High $3,162.28 | Facility | TC · Technical part | $2,041.74 | $2,511.89 | $3,162.28 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $602.56 | $707.95 | $891.25 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $1,380.38 | Facility | None | $269.15 | $354.81 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $851.14 Typical High $2,041.74 | Professional | None (both parts) | $295.12 | $851.14 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $34.67 | $81.28 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $794.33 Typical High $1,862.09 | Professional | TC · Technical part | $257.04 | $794.33 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $691.83 | Facility | None | $501.19 | $501.19 | $691.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $776.25 Typical High $1,230.27 | Professional | None (both parts) | $467.74 | $776.25 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $645.65 | Facility | None | $269.15 | $338.84 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $323.59 Median $691.83 Typical High $1,348.96 | Professional | None | $323.59 | $691.83 | $1,348.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,174.90 | Professional | None (both parts) | $436.52 | $436.52 | $1,174.90 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $41.69 | $109.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $389.05 | $389.05 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Security Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,949.84 Typical High $2,630.27 | Professional | None (both parts) | $912.01 | $1,949.84 | $2,630.27 |
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 $281.84 Median $891.25 Typical High $2,398.83 | Professional | None (both parts) | $281.84 | $891.25 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $33.11 | $81.28 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $812.83 Typical High $2,187.76 | Professional | TC · Technical part | $257.04 | $812.83 | $2,187.76 |
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 $229.09 Median $229.09 Typical High $1,659.59 | Professional | 52 · Reduced service | $229.09 | $229.09 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $660.69 | Professional | 53 · Discontinued | $91.20 | $91.20 | $660.69 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | 80 · Assistant surgeon | $323.59 | $398.11 | $501.19 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | 81 · Minimal assistant surgeon | $323.59 | $398.11 | $501.19 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | 82 · Assistant surgeon, no resident | $323.59 | $398.11 | $501.19 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $281.84 Median $346.74 Typical High $446.68 | Facility | AS · PA/NP assist | $281.84 | $346.74 | $446.68 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska than in Indiana. 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
$1,000
AK $1,202IN $245
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.