How much rates vary
Facilitymedian $389 · 10th to 90th $224 to $794Professionalmedian $447 · 10th to 90th $224 to $851
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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $1,148.15 | Professional | None (both parts) | $223.87 | $223.87 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $426.58 | Professional | 26 · Professional part | $43.65 | $43.65 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $199.53 | $446.68 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $512.86 | Professional | TC · Technical part | $154.88 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $1,096.48 | Facility | None | $645.65 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $257.04 | $467.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $64.57 | $91.20 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $380.19 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $501.19 | Facility | None | $218.78 | $263.03 | $501.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $436.52 | $524.81 | $660.69 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $346.74 | $416.87 | $537.03 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $794.33 | Facility | None | $218.78 | $281.84 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $512.86 Typical High $1,479.11 | Professional | None (both parts) | $245.47 | $512.86 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $123.03 Typical High $309.03 | Professional | 26 · Professional part | $58.88 | $123.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $1,202.26 | Professional | TC · Technical part | $186.21 | $389.05 | $1,202.26 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $537.03 | Facility | None | $302.00 | $302.00 | $537.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $501.19 Typical High $602.56 | Professional | None (both parts) | $281.84 | $501.19 | $602.56 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $125.89 | $147.91 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $371.54 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $501.19 | Facility | None | $218.78 | $263.03 | $501.19 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $707.95 | Professional | None | $275.42 | $457.09 | $707.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $537.03 | Professional | None (both parts) | $354.81 | $467.74 | $537.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $85.11 | $91.20 | $109.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $269.15 | $380.19 | $436.52 |
Security Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Security Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $213.80 | $398.11 | $776.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $72.44 | $117.49 | $190.55 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $588.84 | Professional | TC · Technical part | $208.93 | $269.15 | $588.84 |
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 $234.42 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $234.42 | $380.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $295.12 | $524.81 |
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 $112.20 Median $112.20 Typical High $575.44 | Professional | 52 · Reduced service | $112.20 | $112.20 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $229.09 | Professional | 53 · Discontinued | $44.67 | $44.67 | $229.09 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | 80 · Assistant surgeon | $69.18 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $69.18 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $72.44 Typical High $93.33 | Professional | AS · PA/NP assist | $60.26 | $72.44 | $93.33 |
Where Wisconsin sits
The same service costs 3.0 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· 3rd of 51
$447
AK $513FL $174
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.