How much rates vary
Facilitymedian $562 · 10th to 90th $200 to $2,042Professionalmedian $646 · 10th to 90th $224 to $1,622
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 $309.03 Typical High $309.03 | Facility | None | $199.53 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,698.24 | Professional | None (both parts) | $309.03 | $309.03 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $239.88 | Professional | 26 · Professional part | $34.67 | $34.67 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $831.76 Typical High $1,819.70 | Professional | None (both parts) | $204.17 | $831.76 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $93.33 Typical High $199.53 | Professional | 26 · Professional part | $22.39 | $93.33 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $741.31 Typical High $1,513.56 | Professional | TC · Technical part | $181.97 | $741.31 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $954.99 | Facility | None | $562.34 | $645.65 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $741.31 Typical High $1,174.90 | Professional | None (both parts) | $295.12 | $741.31 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $33.88 | $83.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $660.69 Typical High $1,047.13 | Professional | TC · Technical part | $263.03 | $660.69 | $1,047.13 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,819.70 Typical High $2,454.71 | Facility | None | $229.09 | $1,819.70 | $2,454.71 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,584.89 Median $1,949.84 Typical High $2,454.71 | Facility | TC · Technical part | $1,584.89 | $1,949.84 | $2,454.71 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $407.38 | $478.63 | $575.44 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $1,023.29 | Facility | None | $181.97 | $245.47 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $562.34 Typical High $1,348.96 | Professional | None (both parts) | $234.42 | $562.34 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $27.54 | $64.57 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $208.93 | $512.86 | $1,202.26 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $309.03 | $478.63 | $776.25 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $407.38 | Facility | None | $181.97 | $229.09 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $223.87 Median $512.86 Typical High $912.01 | Professional | None | $223.87 | $512.86 | $912.01 |
Quartz Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $295.12 | $295.12 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $33.88 | $89.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $263.03 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,288.25 Typical High $1,698.24 | Professional | None (both parts) | $562.34 | $1,288.25 | $1,698.24 |
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 $223.87 Median $575.44 Typical High $1,513.56 | Professional | None (both parts) | $223.87 | $575.44 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $25.70 | $64.57 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $512.86 Typical High $1,348.96 | Professional | TC · Technical part | $199.53 | $512.86 | $1,348.96 |
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 $154.88 Median $154.88 Typical High $831.76 | Professional | 52 · Reduced service | $154.88 | $154.88 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $338.84 | Professional | 53 · Discontinued | $61.66 | $61.66 | $338.84 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $251.19 Median $316.23 Typical High $398.11 | Facility | 80 · Assistant surgeon | $251.19 | $316.23 | $398.11 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $251.19 Median $316.23 Typical High $398.11 | Facility | 81 · Minimal assistant surgeon | $251.19 | $316.23 | $398.11 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $251.19 Median $316.23 Typical High $398.11 | Facility | 82 · Assistant surgeon, no resident | $251.19 | $316.23 | $398.11 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $218.78 Median $275.42 Typical High $346.74 | Facility | AS · PA/NP assist | $218.78 | $275.42 | $346.74 |
Where Wisconsin sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$646
AK $851KY $178
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.