How much rates vary
Facilitymedian $479 · 10th to 90th $195 to $1,995Professionalmedian $537 · 10th to 90th $191 to $1,413
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 $263.03 Typical High $263.03 | Facility | None | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $2,089.30 | Professional | None (both parts) | $194.98 | $263.03 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $794.33 | Professional | 26 · Professional part | $58.88 | $85.11 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $691.83 Typical High $1,479.11 | Professional | None (both parts) | $165.96 | $691.83 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $229.09 Typical High $489.78 | Professional | 26 · Professional part | $53.70 | $229.09 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $467.74 Typical High $954.99 | Professional | TC · Technical part | $112.20 | $467.74 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $812.83 | Facility | None | $478.63 | $549.54 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $630.96 Typical High $977.24 | Professional | None (both parts) | $251.19 | $630.96 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $199.53 Typical High $316.23 | Professional | 26 · Professional part | $81.28 | $199.53 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $173.78 | $426.58 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $1,819.70 Typical High $2,454.71 | Facility | None | $194.98 | $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 $346.74 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $346.74 | $407.38 | $489.78 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $338.84 Typical High $1,737.80 | Facility | None | $162.18 | $338.84 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $467.74 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $158.49 Typical High $407.38 | Professional | 26 · Professional part | $66.07 | $158.49 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $323.59 Typical High $831.76 | Professional | TC · Technical part | $134.90 | $323.59 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $354.81 | Facility | None | $263.03 | $263.03 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $245.47 | $398.11 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $346.74 | Facility | None | $151.36 | $194.98 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $758.58 | Professional | None | $190.55 | $436.52 | $758.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $660.69 | Professional | None (both parts) | $251.19 | $251.19 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $81.28 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $173.78 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $467.74 | $1,096.48 | $1,380.38 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,122.02 Typical High $1,380.38 | Professional | None (both parts) | $512.86 | $1,122.02 | $1,380.38 |
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 $186.21 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $186.21 | $467.74 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $158.49 Typical High $407.38 | Professional | 26 · Professional part | $63.10 | $158.49 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $309.03 Typical High $831.76 | Professional | TC · Technical part | $123.03 | $309.03 | $831.76 |
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 $131.83 Median $131.83 Typical High $1,047.13 | Professional | 52 · Reduced service | $131.83 | $131.83 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $416.87 | Professional | 53 · Discontinued | $52.48 | $52.48 | $416.87 |
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 4.4 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
$525
AK $631FL $145
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.