How much rates vary
Facilitymedian $1,738 · 10th to 90th $575 to $5,888Professionalmedian $2,042 · 10th to 90th $692 to $6,026
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 $954.99 Typical High $954.99 | Facility | None | $199.53 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $9,332.54 | Professional | None (both parts) | $954.99 | $954.99 | $9,332.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $1,584.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $1,584.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $630.96 Median $2,630.27 Typical High $6,165.95 | Professional | None (both parts) | $630.96 | $2,630.27 | $6,165.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $338.84 Typical High $812.83 | Professional | 26 · Professional part | $81.28 | $338.84 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $2,344.23 Typical High $5,248.07 | Professional | TC · Technical part | $549.54 | $2,344.23 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,951.21 | Facility | None | $1,737.80 | $1,995.26 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,344.23 Typical High $3,715.35 | Professional | None (both parts) | $912.01 | $2,344.23 | $3,715.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $302.00 Typical High $478.63 | Professional | 26 · Professional part | $120.23 | $302.00 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $2,041.74 Typical High $3,235.94 | Professional | TC · Technical part | $794.33 | $2,041.74 | $3,235.94 |
DeanCare Setting Facility Modifier None Typical Low $707.95 Median $5,370.32 Typical High $7,244.36 | Facility | None | $707.95 | $5,370.32 | $7,244.36 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $4,570.88 Median $5,754.40 Typical High $7,244.36 | Facility | TC · Technical part | $4,570.88 | $5,754.40 | $7,244.36 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,479.11 Typical High $1,778.28 | Professional | None (both parts) | $1,258.93 | $1,479.11 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $3,311.31 | Facility | None | $575.44 | $707.95 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,905.46 Typical High $4,365.16 | Professional | None (both parts) | $776.25 | $1,905.46 | $4,365.16 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $234.42 Typical High $524.81 | Professional | 26 · Professional part | $100.00 | $234.42 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,659.59 Typical High $3,801.89 | Professional | TC · Technical part | $676.08 | $1,659.59 | $3,801.89 |
Network Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,096.48 Typical High $2,344.23 | Professional | None (both parts) | $977.24 | $1,096.48 | $2,344.23 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $1,258.93 | Facility | None | $575.44 | $707.95 | $1,258.93 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,445.44 Typical High $2,818.38 | Professional | None | $691.83 | $1,445.44 | $2,818.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $2,511.89 | Professional | None (both parts) | $912.01 | $912.01 | $2,511.89 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $323.59 | Professional | 26 · Professional part | $120.23 | $120.23 | $323.59 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $2,187.76 | Professional | TC · Technical part | $794.33 | $794.33 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $4,073.80 Typical High $5,495.41 | Professional | None (both parts) | $1,862.09 | $4,073.80 | $5,495.41 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,862.09 Typical High $4,897.79 | Professional | None (both parts) | $741.31 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $234.42 Typical High $602.56 | Professional | 26 · Professional part | $95.50 | $234.42 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,659.59 Typical High $4,265.80 | Professional | TC · Technical part | $645.65 | $1,659.59 | $4,265.80 |
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 $741.31 Median $912.01 Typical High $1,148.15 | Facility | 80 · Assistant surgeon | $741.31 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Facility | 81 · Minimal assistant surgeon | $741.31 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Facility | 82 · Assistant surgeon, no resident | $741.31 | $912.01 | $1,148.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $645.65 Median $794.33 Typical High $1,023.29 | Facility | AS · PA/NP assist | $645.65 | $794.33 | $1,023.29 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Texas. 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
$2,042
AK $2,630TX $525
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.