How much rates vary
Facilitymedian $263 · 10th to 90th $107 to $1,259Professionalmedian $331 · 10th to 90th $110 to $871
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 $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $1,698.24 | Professional | None (both parts) | $144.54 | $144.54 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $371.54 | Professional | 26 · Professional part | $25.70 | $25.70 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $95.50 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $446.68 Typical High $912.01 | Professional | None (both parts) | $107.15 | $446.68 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $16.98 | $72.44 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $371.54 Typical High $724.44 | Professional | TC · Technical part | $91.20 | $371.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $302.00 Typical High $446.68 | Facility | None | $263.03 | $302.00 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $138.04 | $346.74 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $24.55 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $114.82 | $281.84 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $1,122.02 Typical High $1,513.56 | Facility | None | $107.15 | $1,122.02 | $1,513.56 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $977.24 Median $1,202.26 Typical High $1,513.56 | Facility | TC · Technical part | $977.24 | $1,202.26 | $1,513.56 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $190.55 | $223.87 | $281.84 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $1,023.29 | Facility | None | $89.13 | $114.82 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $117.49 | $281.84 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $48.98 Typical High $125.89 | Professional | 26 · Professional part | $20.89 | $48.98 | $125.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $95.50 | $239.88 | $630.96 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Facility | None | $165.96 | $165.96 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $154.88 | $239.88 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $204.17 | Facility | None | $89.13 | $107.15 | $204.17 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $251.19 Typical High $416.87 | Professional | None | $109.65 | $251.19 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $426.58 | Professional | None (both parts) | $138.04 | $138.04 | $426.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $24.55 | $67.61 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $114.82 | $354.81 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Security Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $281.84 | $645.65 | $870.96 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $114.82 | $114.82 | $134.90 |
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 $112.20 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $112.20 | $288.40 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $48.98 Typical High $125.89 | Professional | 26 · Professional part | $19.50 | $48.98 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $93.33 | $239.88 | $630.96 |
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 $72.44 Median $72.44 Typical High $851.14 | Professional | 52 · Reduced service | $72.44 | $72.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $338.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $338.84 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 80 · Assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 81 · Minimal assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 82 · Assistant surgeon, no resident | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $213.80 | Facility | AS · PA/NP assist | $138.04 | $169.82 | $213.80 |
Where Wisconsin sits
The same service costs 5.5 times more in Alabama 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· 3rd of 51
$331
AL $479FL $87.10
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.