How much rates vary
Facilitymedian $4,467 · 10th to 90th $200 to $6,761Professionalmedian $3,311 · 10th to 90th $891 to $8,318
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 $14,125.38 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $14,125.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $741.31 | Professional | 26 · Professional part | $100.00 | $100.00 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $2,089.30 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $794.33 Median $3,311.31 Typical High $7,943.28 | Professional | None (both parts) | $794.33 | $3,311.31 | $7,943.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $416.87 Typical High $977.24 | Professional | 26 · Professional part | $100.00 | $416.87 | $977.24 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $2,884.03 Typical High $6,918.31 | Professional | TC · Technical part | $691.83 | $2,884.03 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $7,585.78 | Facility | None | $4,466.84 | $5,011.87 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $3,388.44 Typical High $6,606.93 | Professional | None (both parts) | $1,174.90 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $363.08 Typical High $575.44 | Professional | 26 · Professional part | $144.54 | $363.08 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $3,162.28 Typical High $6,165.95 | Professional | TC · Technical part | $1,023.29 | $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 $1,949.84 Median $1,949.84 Typical High $3,548.13 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $1,905.46 Typical High $5,370.32 | Facility | None | $93.33 | $1,905.46 | $5,370.32 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,981.07 Typical High $7,079.46 | Professional | None (both parts) | $1,621.81 | $3,981.07 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $275.42 Typical High $524.81 | Professional | 26 · Professional part | $120.23 | $275.42 | $524.81 |
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 $3,090.30 Median $3,090.30 Typical High $3,801.89 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $1,778.28 Typical High $5,370.32 | Facility | None | $93.33 | $1,778.28 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $1,862.09 Typical High $3,890.45 | Professional | None | $912.01 | $1,862.09 | $3,890.45 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $4,168.69 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $4,168.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | 26 · Professional part | $144.54 | $144.54 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Security Health Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $10,232.93 Typical High $12,302.69 | Professional | None (both parts) | $6,606.93 | $10,232.93 | $12,302.69 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $6,165.95 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $6,165.95 |
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 $107.15 Median $275.42 Typical High $467.74 | Professional | 26 · Professional part | $107.15 | $275.42 | $467.74 |
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 16.6 times more in Alaska 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
$3,311
AK $3,388WA $204
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.