How much rates vary
Facilitymedian $363 · 10th to 90th $151 to $1,259Professionalmedian $407 · 10th to 90th $148 to $1,072
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 $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $1,584.89 | Professional | None (both parts) | $147.91 | $204.17 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $125.89 Typical High $1,230.27 | Professional | 26 · Professional part | $87.10 | $125.89 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $549.54 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $338.84 Typical High $676.08 | Professional | 26 · Professional part | $81.28 | $338.84 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $48.98 | $199.53 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $758.58 | Professional | None (both parts) | $194.98 | $295.12 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $181.97 Typical High $467.74 | Professional | 26 · Professional part | $114.82 | $181.97 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $74.13 | $120.23 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $1,122.02 Typical High $1,513.56 | Facility | None | $151.36 | $1,122.02 | $1,513.56 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $977.24 Median $1,202.26 Typical High $1,513.56 | Facility | TC · Technical part | $977.24 | $1,202.26 | $1,513.56 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $281.84 | $338.84 | $380.19 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $575.44 | Facility | None | $120.23 | $162.18 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $398.11 Typical High $1,122.02 | Professional | None (both parts) | $162.18 | $398.11 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $251.19 Typical High $524.81 | Professional | 26 · Professional part | $102.33 | $251.19 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $151.36 Typical High $616.60 | Professional | TC · Technical part | $57.54 | $151.36 | $616.60 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $269.15 | Facility | None | $204.17 | $204.17 | $269.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $190.55 | $323.59 | $537.03 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $269.15 | Facility | None | $120.23 | $151.36 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $588.84 | Professional | None | $147.91 | $309.03 | $588.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $194.98 | $194.98 | $512.86 |
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 $74.13 Median $74.13 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $74.13 | $190.55 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $478.63 | $831.76 | $1,071.52 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $512.86 Typical High $691.83 | Professional | 26 · Professional part | $169.82 | $512.86 | $691.83 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $363.08 Typical High $954.99 | Professional | None (both parts) | $141.25 | $363.08 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $234.42 Typical High $616.60 | Professional | 26 · Professional part | $95.50 | $234.42 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $131.83 Typical High $331.13 | Professional | TC · Technical part | $51.29 | $131.83 | $331.13 |
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 $154.88 Median $190.55 Typical High $245.47 | Facility | 80 · Assistant surgeon | $154.88 | $190.55 | $245.47 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | 81 · Minimal assistant surgeon | $154.88 | $190.55 | $245.47 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | 82 · Assistant surgeon, no resident | $154.88 | $190.55 | $245.47 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $134.90 Median $169.82 Typical High $213.80 | Facility | AS · PA/NP assist | $134.90 | $169.82 | $213.80 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$407
AK $457FL $110
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.