How much rates vary
Facilitymedian $575 · 10th to 90th $200 to $2,042Professionalmedian $661 · 10th to 90th $219 to $1,660
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 $2,511.89 | Professional | None (both parts) | $316.23 | $316.23 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $398.11 | Professional | 26 · Professional part | $40.74 | $40.74 | $398.11 |
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 $194.98 Median $812.83 Typical High $1,698.24 | Professional | None (both parts) | $194.98 | $812.83 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $104.71 Typical High $229.09 | Professional | 26 · Professional part | $25.12 | $104.71 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $707.95 Typical High $1,621.81 | Professional | TC · Technical part | $169.82 | $707.95 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $977.24 | Facility | None | $575.44 | $645.65 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $758.58 Typical High $1,174.90 | Professional | None (both parts) | $302.00 | $758.58 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $95.50 | $147.91 |
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 $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 $416.87 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $416.87 | $489.78 | $588.84 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $245.47 Typical High $1,023.29 | Facility | None | $173.78 | $245.47 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $549.54 Typical High $1,348.96 | Professional | None (both parts) | $208.93 | $549.54 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $32.36 | $72.44 | $190.55 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $489.78 Typical High $1,174.90 | Professional | TC · Technical part | $177.83 | $489.78 | $1,174.90 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Facility | None | $331.13 | $331.13 | $478.63 |
Network Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $794.33 | Professional | None (both parts) | $309.03 | $489.78 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $416.87 | Facility | None | $173.78 | $234.42 | $416.87 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $512.86 Typical High $912.01 | Professional | None | $245.47 | $512.86 | $912.01 |
Quartz Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $776.25 | Professional | None (both parts) | $302.00 | $302.00 | $776.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $38.90 | $100.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $263.03 | $676.08 |
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 $575.44 Median $1,348.96 Typical High $1,698.24 | Professional | None (both parts) | $575.44 | $1,348.96 | $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 $208.93 Median $575.44 Typical High $1,548.82 | Professional | None (both parts) | $208.93 | $575.44 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $29.51 | $72.44 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $501.19 Typical High $1,348.96 | Professional | TC · Technical part | $177.83 | $501.19 | $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 $158.49 Median $158.49 Typical High $1,258.93 | Professional | 52 · Reduced service | $158.49 | $158.49 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $501.19 | Professional | 53 · Discontinued | $63.10 | $63.10 | $501.19 |
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 Indiana. 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 $851IN $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.