How much rates vary
Facilitymedian $537 · 10th to 90th $200 to $2,042Professionalmedian $631 · 10th to 90th $209 to $1,479
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 $295.12 Typical High $295.12 | Facility | None | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $1,348.96 | Professional | None (both parts) | $295.12 | $295.12 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $295.12 | Professional | 26 · Professional part | $51.29 | $51.29 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $812.83 Typical High $1,778.28 | Professional | None (both parts) | $190.55 | $812.83 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $138.04 Typical High $295.12 | Professional | 26 · Professional part | $33.11 | $138.04 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $660.69 Typical High $1,479.11 | Professional | TC · Technical part | $158.49 | $660.69 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $912.01 | Facility | None | $537.03 | $602.56 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $707.95 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $707.95 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $48.98 | $120.23 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $588.84 Typical High $912.01 | Professional | TC · Technical part | $229.09 | $588.84 | $912.01 |
DeanCare Setting Facility Modifier None Typical Low $213.80 Median $1,819.70 Typical High $2,454.71 | Facility | None | $213.80 | $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 $389.05 Median $446.68 Typical High $549.54 | Professional | None (both parts) | $389.05 | $446.68 | $549.54 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $1,023.29 | Facility | None | $173.78 | $229.09 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $549.54 Typical High $1,288.25 | Professional | None (both parts) | $229.09 | $549.54 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $95.50 Typical High $245.47 | Professional | 26 · Professional part | $39.81 | $95.50 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $467.74 Typical High $1,096.48 | Professional | TC · Technical part | $190.55 | $467.74 | $1,096.48 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $446.68 | Facility | None | $316.23 | $316.23 | $446.68 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $295.12 | $478.63 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $398.11 | Facility | None | $173.78 | $213.80 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $851.14 | Professional | None | $208.93 | $478.63 | $851.14 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $281.84 | $281.84 | $758.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $48.98 | $128.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $229.09 | $229.09 | $630.96 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,258.93 Typical High $1,659.59 | Professional | None (both parts) | $562.34 | $1,258.93 | $1,659.59 |
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 $218.78 Median $562.34 Typical High $1,479.11 | Professional | None (both parts) | $218.78 | $562.34 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $95.50 Typical High $245.47 | Professional | 26 · Professional part | $38.02 | $95.50 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,230.27 | Professional | TC · Technical part | $181.97 | $467.74 | $1,230.27 |
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 $144.54 Median $144.54 Typical High $676.08 | Professional | 52 · Reduced service | $144.54 | $144.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $275.42 | Professional | 53 · Discontinued | $58.88 | $58.88 | $275.42 |
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 4.6 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
$631
AK $794FL $174
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.