How much rates vary
Facilitymedian $4,467 · 10th to 90th $200 to $6,918Professionalmedian $3,548 · 10th to 90th $912 to $8,913
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 $13,803.84 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $13,803.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $1,513.56 | Professional | 26 · Professional part | $100.00 | $100.00 | $1,513.56 |
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 $870.96 Median $3,630.78 Typical High $8,709.64 | Professional | None (both parts) | $870.96 | $3,630.78 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $457.09 Typical High $1,096.48 | Professional | 26 · Professional part | $109.65 | $457.09 | $1,096.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $3,235.94 Typical High $7,762.47 | Professional | TC · Technical part | $758.58 | $3,235.94 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $7,585.78 | Facility | None | $4,466.84 | $5,128.61 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $3,388.44 Typical High $6,606.93 | Professional | None (both parts) | $1,318.26 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $162.18 | $398.11 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $3,162.28 Typical High $6,165.95 | Professional | TC · Technical part | $1,148.15 | $3,162.28 | $6,165.95 |
DeanCare Setting Facility Modifier None Typical Low $1,819.70 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,819.70 | $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 $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $5,888.44 | Facility | None | $1,819.70 | $3,890.45 | $5,888.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $4,073.80 Typical High $8,709.64 | Professional | None (both parts) | $1,621.81 | $4,073.80 | $8,709.64 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $309.03 Typical High $660.69 | Professional | 26 · Professional part | $134.90 | $309.03 | $660.69 |
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 $3,467.37 Median $3,467.37 Typical High $3,890.45 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,890.45 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $1,819.70 Typical High $5,370.32 | Facility | None | $104.71 | $1,819.70 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $4,265.80 | Professional | None | $1,000.00 | $2,089.30 | $4,265.80 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $4,570.88 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $4,570.88 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $426.58 | Professional | 26 · Professional part | $162.18 | $162.18 | $426.58 |
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 $10,000.00 Typical High $11,220.18 | Professional | None (both parts) | $6,606.93 | $10,000.00 | $11,220.18 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $5,888.44 Typical High $7,413.10 | Professional | None (both parts) | $2,754.23 | $5,888.44 | $7,413.10 |
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 $6,606.93 | Professional | None (both parts) | $1,548.82 | $3,981.07 | $6,606.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $309.03 Typical High $524.81 | Professional | 26 · Professional part | $120.23 | $309.03 | $524.81 |
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 21.9 times more in Minnesota 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
$3,631
MN $4,786WA $219
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.