How much rates vary
Facilitymedian $692 · 10th to 90th $158 to $1,288Professionalmedian $427 · 10th to 90th $115 to $1,259
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 $158.49 Median $158.49 Typical High $199.53 | Facility | None | $158.49 | $158.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $1,584.89 | Professional | None (both parts) | $158.49 | $158.49 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $562.34 | Professional | 26 · Professional part | $97.72 | $97.72 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $102.33 | $426.58 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $263.03 Typical High $512.86 | Professional | 26 · Professional part | $63.10 | $263.03 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $165.96 Typical High $323.59 | Professional | TC · Technical part | $38.90 | $165.96 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $1,174.90 | Facility | None | $691.83 | $776.25 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $389.05 Typical High $870.96 | Professional | None (both parts) | $147.91 | $389.05 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $363.08 | Professional | 26 · Professional part | $93.33 | $138.04 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $208.93 Typical High $602.56 | Professional | TC · Technical part | $57.54 | $208.93 | $602.56 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $1,122.02 Typical High $1,513.56 | Facility | None | $239.88 | $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 $239.88 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $239.88 | $275.42 | $501.19 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $257.04 Typical High $575.44 | Facility | None | $60.26 | $257.04 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $616.60 Typical High $1,258.93 | Professional | None (both parts) | $263.03 | $616.60 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $213.80 Typical High $1,202.26 | Professional | 26 · Professional part | $81.28 | $213.80 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $173.78 | $407.38 | $794.33 |
Network Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $239.88 Typical High $457.09 | Facility | None | $60.26 | $239.88 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $588.84 | Professional | None | $114.82 | $245.47 | $588.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $616.60 | Professional | None (both parts) | $151.36 | $151.36 | $616.60 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $245.47 | Professional | 26 · Professional part | $93.33 | $93.33 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $245.47 | Professional | TC · Technical part | $57.54 | $57.54 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Security Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,318.26 Typical High $1,819.70 | Professional | None (both parts) | $741.31 | $1,318.26 | $1,819.70 |
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 $125.89 Median $549.54 Typical High $1,513.56 | Professional | None (both parts) | $125.89 | $549.54 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $181.97 Typical High $549.54 | Professional | 26 · Professional part | $74.13 | $181.97 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $363.08 Typical High $954.99 | Professional | TC · Technical part | $50.12 | $363.08 | $954.99 |
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 $79.43 Median $79.43 Typical High $776.25 | Professional | 52 · Reduced service | $79.43 | $79.43 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $316.23 | Professional | 53 · Discontinued | $31.62 | $31.62 | $316.23 |
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 4.7 times more in Nebraska than in New Jersey. 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
$427
NE $537NJ $115
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.