How much rates vary
Facilitymedian $575 · 10th to 90th $200 to $2,042Professionalmedian $676 · 10th to 90th $234 to $1,698
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 $316.23 Typical High $316.23 | Facility | None | $199.53 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $316.23 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $501.19 | Professional | 26 · Professional part | $60.26 | $66.07 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $218.78 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $870.96 Typical High $1,778.28 | Professional | None (both parts) | $208.93 | $870.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $177.83 Typical High $389.05 | Professional | 26 · Professional part | $42.66 | $177.83 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $707.95 Typical High $1,584.89 | Professional | TC · Technical part | $165.96 | $707.95 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $660.69 Typical High $977.24 | Facility | None | $575.44 | $660.69 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $302.00 | $776.25 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $158.49 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $158.49 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $616.60 Typical High $977.24 | Professional | TC · Technical part | $239.88 | $616.60 | $977.24 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $1,819.70 Typical High $2,454.71 | Facility | None | $234.42 | $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 $426.58 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $426.58 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $1,380.38 | Facility | None | $190.55 | $251.19 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $602.56 Typical High $1,584.89 | Professional | None (both parts) | $251.19 | $602.56 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $125.89 Typical High $323.59 | Professional | 26 · Professional part | $52.48 | $125.89 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $489.78 Typical High $1,148.15 | Professional | TC · Technical part | $199.53 | $489.78 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $478.63 | Facility | None | $346.74 | $346.74 | $478.63 |
Network Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $323.59 | $524.81 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $446.68 | Facility | None | $190.55 | $234.42 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $537.03 Typical High $933.25 | Professional | None | $234.42 | $537.03 | $933.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $831.76 | Professional | None (both parts) | $302.00 | $302.00 | $831.76 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $63.10 | $169.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $239.88 | $660.69 |
Security Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Security Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,348.96 Typical High $1,819.70 | Professional | None (both parts) | $616.60 | $1,348.96 | $1,819.70 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $269.15 | $363.08 | $363.08 |
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 $239.88 Median $616.60 Typical High $1,659.59 | Professional | None (both parts) | $239.88 | $616.60 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $125.89 Typical High $323.59 | Professional | 26 · Professional part | $50.12 | $125.89 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $489.78 Typical High $1,318.26 | Professional | TC · Technical part | $190.55 | $489.78 | $1,318.26 |
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 $158.49 Median $158.49 Typical High $933.25 | Professional | 52 · Reduced service | $158.49 | $158.49 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $371.54 | Professional | 53 · Discontinued | $63.10 | $63.10 | $371.54 |
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 3.8 times more in Alaska than in Florida. 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
$676
AK $708FL $186
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.