How much rates vary
Facilitymedian $191 · 10th to 90th $151 to $575Professionalmedian $245 · 10th to 90th $132 to $537
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $676.08 | Professional | None (both parts) | $151.36 | $151.36 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $354.81 | Professional | 26 · Professional part | $40.74 | $40.74 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | TC · Technical part | $109.65 | $109.65 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $109.65 | $234.42 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $91.20 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $70.79 | $154.88 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $52.48 | $138.04 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $741.31 | Facility | None | $436.52 | $489.78 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $158.49 | $316.23 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $85.11 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $229.09 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $331.13 | Facility | None | $147.91 | $177.83 | $331.13 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $295.12 | $346.74 | $446.68 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $107.15 | $117.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $257.04 | $323.59 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $794.33 | Facility | None | $147.91 | $186.21 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $831.76 | Professional | None (both parts) | $128.82 | $257.04 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $112.20 Typical High $263.03 | Professional | 26 · Professional part | $51.29 | $112.20 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $602.56 | Professional | TC · Technical part | $72.44 | $151.36 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Facility | None | $173.78 | $173.78 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $281.84 | Professional | None (both parts) | $162.18 | $275.42 | $281.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $93.33 | $109.65 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $95.50 | $181.97 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $177.83 Typical High $331.13 | Facility | None | $147.91 | $177.83 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $489.78 | Professional | None | $181.97 | $302.00 | $489.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $208.93 | $316.23 | $363.08 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $85.11 | $102.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $229.09 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $229.09 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $144.54 | $239.88 | $575.44 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $72.44 | $138.04 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $79.43 | $190.55 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $123.03 | $194.98 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $43.65 | $81.28 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $117.49 | $204.17 |
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 $75.86 Median $75.86 Typical High $346.74 | Professional | 52 · Reduced service | $75.86 | $75.86 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $138.04 | Professional | 53 · Discontinued | $30.20 | $30.20 | $138.04 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | 80 · Assistant surgeon | $46.77 | $56.23 | $70.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $46.77 | $56.23 | $70.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $56.23 | $70.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $48.98 Typical High $61.66 | Professional | AS · PA/NP assist | $40.74 | $48.98 | $61.66 |
Where Wisconsin sits
The same service costs 3.2 times more in Alaska than in New York. 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· 3rd of 51
$245
AK $347NY $107
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.