How much rates vary
Facilitymedian $1,585 · 10th to 90th $513 to $5,623Professionalmedian $1,905 · 10th to 90th $603 to $4,898
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 $851.14 Typical High $851.14 | Facility | None | $199.53 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $7,943.28 | Professional | None (both parts) | $851.14 | $851.14 | $7,943.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $831.76 | Professional | 26 · Professional part | $70.79 | $70.79 | $831.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $602.56 | $776.25 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $2,398.83 Typical High $4,897.79 | Professional | None (both parts) | $575.44 | $2,398.83 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $190.55 Typical High $407.38 | Professional | 26 · Professional part | $45.71 | $190.55 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $2,238.72 Typical High $4,466.84 | Professional | TC · Technical part | $537.03 | $2,238.72 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,584.89 | $1,778.28 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $2,089.30 Typical High $3,311.31 | Professional | None (both parts) | $812.83 | $2,089.30 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $165.96 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,949.84 Typical High $3,019.95 | Professional | TC · Technical part | $758.58 | $1,949.84 | $3,019.95 |
DeanCare Setting Facility Modifier None Typical Low $630.96 Median $5,011.87 Typical High $6,918.31 | Facility | None | $630.96 | $5,011.87 | $6,918.31 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $5,370.32 Typical High $6,918.31 | Facility | TC · Technical part | $4,365.16 | $5,370.32 | $6,918.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $1,584.89 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $3,311.31 | Facility | None | $512.86 | $676.08 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,698.24 Typical High $3,981.07 | Professional | None (both parts) | $676.08 | $1,698.24 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $131.83 Typical High $363.08 | Professional | 26 · Professional part | $57.54 | $131.83 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,584.89 Typical High $3,630.78 | Professional | TC · Technical part | $630.96 | $1,584.89 | $3,630.78 |
Network Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Facility | None | $977.24 | $977.24 | $1,174.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,288.25 Typical High $2,041.74 | Professional | None (both parts) | $912.01 | $1,288.25 | $2,041.74 |
Prevea360 Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $1,122.02 | Facility | None | $512.86 | $630.96 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $2,570.40 | Professional | None | $616.60 | $1,318.26 | $2,570.40 |
Quartz Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $2,290.87 | Professional | None (both parts) | $812.83 | $812.83 | $2,290.87 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $67.61 | $177.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $2,089.30 | Professional | TC · Technical part | $758.58 | $758.58 | $2,089.30 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $3,630.78 Typical High $5,128.61 | Professional | None (both parts) | $1,513.56 | $3,630.78 | $5,128.61 |
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 $660.69 Median $1,737.80 Typical High $3,981.07 | Professional | None (both parts) | $660.69 | $1,737.80 | $3,981.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $131.83 Typical High $363.08 | Professional | 26 · Professional part | $53.70 | $131.83 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,584.89 Typical High $3,630.78 | Professional | TC · Technical part | $588.84 | $1,584.89 | $3,630.78 |
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 $426.58 Median $426.58 Typical High $3,981.07 | Professional | 52 · Reduced service | $426.58 | $426.58 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $1,584.89 | Professional | 53 · Discontinued | $169.82 | $169.82 | $1,584.89 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 80 · Assistant surgeon | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 81 · Minimal assistant surgeon | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $707.95 Median $870.96 Typical High $1,096.48 | Facility | 82 · Assistant surgeon, no resident | $707.95 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $616.60 Median $758.58 Typical High $954.99 | Facility | AS · PA/NP assist | $616.60 | $758.58 | $954.99 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$1,820
AK $1,950KY $447
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.