How much rates vary
Facilitymedian $661 · 10th to 90th $219 to $2,884Professionalmedian $851 · 10th to 90th $269 to $2,138
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 $363.08 Typical High $363.08 | Facility | None | $199.53 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $3,311.31 | Professional | None (both parts) | $363.08 | $363.08 | $3,311.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $426.58 | Professional | 26 · Professional part | $37.15 | $37.15 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $1,023.29 Typical High $2,344.23 | Professional | None (both parts) | $245.47 | $1,023.29 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $100.00 Typical High $218.78 | Professional | 26 · Professional part | $23.99 | $100.00 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $912.01 Typical High $2,137.96 | Professional | TC · Technical part | $218.78 | $912.01 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,122.02 | Facility | None | $660.69 | $758.58 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $346.74 | $891.25 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $35.48 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $794.33 Typical High $1,258.93 | Professional | TC · Technical part | $316.23 | $794.33 | $1,258.93 |
DeanCare Setting Facility Modifier None Typical Low $269.15 Median $2,344.23 Typical High $3,162.28 | Facility | None | $269.15 | $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 $478.63 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $478.63 | $562.34 | $707.95 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $3,311.31 | Facility | None | $218.78 | $288.40 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $707.95 Typical High $1,698.24 | Professional | None (both parts) | $309.03 | $707.95 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $70.79 Typical High $177.83 | Professional | 26 · Professional part | $30.90 | $70.79 | $177.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $660.69 Typical High $1,548.82 | Professional | TC · Technical part | $275.42 | $660.69 | $1,548.82 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $691.83 | Facility | None | $416.87 | $416.87 | $691.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $741.31 Typical High $977.24 | Professional | None (both parts) | $389.05 | $741.31 | $977.24 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $512.86 | Facility | None | $218.78 | $269.15 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $269.15 Median $630.96 Typical High $1,071.52 | Professional | None | $269.15 | $630.96 | $1,071.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $954.99 | Professional | None (both parts) | $346.74 | $346.74 | $954.99 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $35.48 | $93.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $851.14 | Professional | TC · Technical part | $316.23 | $316.23 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,698.24 Typical High $2,187.76 | Professional | None (both parts) | $870.96 | $1,698.24 | $2,187.76 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $724.44 Typical High $1,905.46 | Professional | None (both parts) | $288.40 | $724.44 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $69.18 Typical High $177.83 | Professional | 26 · Professional part | $28.18 | $69.18 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $660.69 Typical High $1,737.80 | Professional | TC · Technical part | $257.04 | $660.69 | $1,737.80 |
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 $181.97 Median $181.97 Typical High $1,659.59 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $660.69 | Professional | 53 · Discontinued | $72.44 | $72.44 | $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 4.3 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
$813
AK $1,000TX $234
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.