How much rates vary
Facilitymedian $355 · 10th to 90th $148 to $1,738Professionalmedian $427 · 10th to 90th $145 to $1,047
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 $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $1,584.89 | Professional | None (both parts) | $199.53 | $199.53 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $1,230.27 | Professional | 26 · Professional part | $120.23 | $120.23 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $537.03 Typical High $1,047.13 | Professional | None (both parts) | $128.82 | $537.03 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $323.59 Typical High $645.65 | Professional | 26 · Professional part | $77.62 | $323.59 | $645.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $50.12 | $208.93 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $741.31 | Professional | None (both parts) | $190.55 | $288.40 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $169.82 Typical High $457.09 | Professional | 26 · Professional part | $114.82 | $169.82 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $74.13 | $117.49 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $1,548.82 Typical High $2,137.96 | Facility | None | $147.91 | $1,548.82 | $2,137.96 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,348.96 Median $1,659.59 Typical High $2,137.96 | Facility | TC · Technical part | $1,348.96 | $1,659.59 | $2,137.96 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $275.42 | $331.13 | $371.54 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $575.44 | Facility | None | $117.49 | $158.49 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $416.87 Typical High $1,174.90 | Professional | None (both parts) | $162.18 | $416.87 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $263.03 Typical High $912.01 | Professional | 26 · Professional part | $100.00 | $263.03 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $165.96 Typical High $912.01 | Professional | TC · Technical part | $61.66 | $165.96 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Facility | None | $204.17 | $204.17 | $316.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $190.55 | $346.74 | $537.03 |
Prevea360 Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $263.03 | Facility | None | $117.49 | $147.91 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $331.13 Typical High $602.56 | Professional | None | $144.54 | $331.13 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $190.55 | $190.55 | $501.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $309.03 | Professional | 26 · Professional part | $114.82 | $114.82 | $309.03 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $74.13 | $199.53 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $478.63 | $851.14 | $1,071.52 |
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 $144.54 Median $363.08 Typical High $933.25 | Professional | None (both parts) | $144.54 | $363.08 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $229.09 Typical High $588.84 | Professional | 26 · Professional part | $91.20 | $229.09 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $147.91 Typical High $346.74 | Professional | TC · Technical part | $53.70 | $147.91 | $346.74 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $794.33 | Professional | 52 · Reduced service | $100.00 | $100.00 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $316.23 | Professional | 53 · Discontinued | $39.81 | $39.81 | $316.23 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $213.80 Median $269.15 Typical High $338.84 | Facility | 80 · Assistant surgeon | $213.80 | $269.15 | $338.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $213.80 Median $269.15 Typical High $338.84 | Facility | 81 · Minimal assistant surgeon | $213.80 | $269.15 | $338.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $213.80 Median $269.15 Typical High $338.84 | Facility | 82 · Assistant surgeon, no resident | $213.80 | $269.15 | $338.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $190.55 Median $234.42 Typical High $295.12 | Facility | AS · PA/NP assist | $190.55 | $234.42 | $295.12 |
Where Wisconsin sits
The same service costs 5.6 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
$417
AK $525TX $93.33
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.