How much rates vary
Facilitymedian $4,365 · 10th to 90th $200 to $6,761Professionalmedian $2,951 · 10th to 90th $776 to $7,943
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 $1,288.25 Typical High $1,288.25 | Facility | None | $199.53 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $11,481.54 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $11,481.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $602.56 | Professional | 26 · Professional part | $100.00 | $100.00 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $2,951.21 Typical High $7,079.46 | Professional | None (both parts) | $707.95 | $2,951.21 | $7,079.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $371.54 Typical High $891.25 | Professional | 26 · Professional part | $89.13 | $371.54 | $891.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $2,570.40 Typical High $6,165.95 | Professional | TC · Technical part | $616.60 | $2,570.40 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $5,011.87 Typical High $7,413.10 | Facility | None | $4,365.16 | $5,011.87 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $3,388.44 Typical High $6,606.93 | Professional | None (both parts) | $1,047.13 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $323.59 Typical High $512.86 | Professional | 26 · Professional part | $131.83 | $323.59 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $3,162.28 Typical High $6,165.95 | Professional | TC · Technical part | $912.01 | $3,162.28 | $6,165.95 |
DeanCare Setting Facility Modifier None Typical Low $1,778.28 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,778.28 | $5,754.40 | $7,762.47 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $5,011.87 Median $6,165.95 Typical High $7,762.47 | Facility | TC · Technical part | $5,011.87 | $6,165.95 | $7,762.47 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $1,905.46 Typical High $4,365.16 | Facility | None | $85.11 | $1,905.46 | $4,365.16 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,890.45 Typical High $8,128.31 | Professional | None (both parts) | $1,621.81 | $3,890.45 | $8,128.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $245.47 Typical High $478.63 | Professional | 26 · Professional part | $104.71 | $245.47 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $3,715.35 Typical High $6,025.60 | Professional | TC · Technical part | $1,513.56 | $3,715.35 | $6,025.60 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $1,778.28 Typical High $4,365.16 | Facility | None | $85.11 | $1,778.28 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $1,698.24 Typical High $3,467.37 | Professional | None | $812.83 | $1,698.24 | $3,467.37 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $3,715.35 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $3,715.35 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $346.74 | Professional | 26 · Professional part | $131.83 | $131.83 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Security Health Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $10,000.00 Typical High $12,022.64 | Professional | None (both parts) | $6,456.54 | $10,000.00 | $12,022.64 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $4,570.88 Median $4,570.88 Typical High $5,370.32 | Professional | None (both parts) | $4,570.88 | $4,570.88 | $5,370.32 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,981.07 Typical High $6,456.54 | Professional | None (both parts) | $1,548.82 | $3,981.07 | $6,456.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $239.88 Typical High $407.38 | Professional | 26 · Professional part | $97.72 | $239.88 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $3,715.35 Typical High $6,025.60 | Professional | TC · Technical part | $1,445.44 | $3,715.35 | $6,025.60 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 80 · Assistant surgeon | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 81 · Minimal assistant surgeon | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $794.33 Median $977.24 Typical High $1,258.93 | Facility | 82 · Assistant surgeon, no resident | $794.33 | $977.24 | $1,258.93 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | AS · PA/NP assist | $691.83 | $870.96 | $1,096.48 |
Where Wisconsin sits
The same service costs 16.2 times more in Nebraska than in Washington. 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
$3,090
NE $3,236WA $200
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.