How much rates vary
Facilitymedian $63 · 10th to 90th $32 to $151Professionalmedian $78 · 10th to 90th $32 to $195
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $537.03 | Professional | None (both parts) | $31.62 | $31.62 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $354.81 | Professional | 26 · Professional part | $10.96 | $10.96 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $20.42 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $36.31 | $85.11 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $29.51 Typical High $93.33 | Professional | 26 · Professional part | $12.59 | $29.51 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $54.95 Typical High $131.83 | Professional | TC · Technical part | $23.44 | $54.95 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $23.99 Typical High $38.02 | Professional | None (both parts) | $13.18 | $23.99 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $138.04 | Facility | None | $81.28 | $91.20 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $114.82 | Professional | None (both parts) | $33.88 | $43.65 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $45.71 | Professional | 26 · Professional part | $11.75 | $16.60 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $74.13 | Professional | TC · Technical part | $21.88 | $28.18 | $74.13 |
DeanCare Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $74.13 | Facility | None | $28.18 | $36.31 | $74.13 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $54.95 | $75.86 | $85.11 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $19.50 | $26.30 | $31.62 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $36.31 | $50.12 | $60.26 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $398.11 | Facility | None | $28.18 | $40.74 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $46.77 | $120.23 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $18.62 | $46.77 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $28.84 | $77.62 | $128.82 |
Network Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Network Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $38.02 | $77.62 | $97.72 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $74.13 | Facility | None | $28.18 | $36.31 | $74.13 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $134.90 | Professional | None | $37.15 | $75.86 | $134.90 |
Quartz Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $33.88 | $33.88 | $74.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $25.70 | Professional | 26 · Professional part | $11.75 | $11.75 | $25.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $21.88 | $48.98 |
Security Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Security Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $81.28 | $158.49 | $199.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $29.51 | $40.74 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $47.86 | $60.26 | $75.86 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | None (both parts) | $109.65 | $109.65 | $123.03 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $38.90 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $15.14 | $30.20 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $50.12 | $93.33 |
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 $15.85 Median $15.85 Typical High $263.03 | Professional | 52 · Reduced service | $15.85 | $15.85 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $107.15 | Professional | 53 · Discontinued | $6.31 | $6.31 | $107.15 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $12.02 Typical High $13.49 | Professional | 80 · Assistant surgeon | $8.91 | $12.02 | $13.49 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $12.02 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $8.91 | $12.02 | $13.49 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $12.02 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $12.02 | $13.49 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $10.72 Typical High $11.75 | Professional | AS · PA/NP assist | $7.76 | $10.72 | $11.75 |
Where Wisconsin sits
The same service costs 2.7 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
$77.62
AK $83.18FL $30.90
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.