How much rates vary
Facilitymedian $347 · 10th to 90th $135 to $1,175Professionalmedian $224 · 10th to 90th $105 to $851
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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $218.78 | $218.78 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $602.56 | Professional | 26 · Professional part | $104.71 | $104.71 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $870.96 | Professional | None (both parts) | $104.71 | $208.93 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $104.71 Typical High $416.87 | Professional | 26 · Professional part | $52.48 | $104.71 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $446.68 | Professional | TC · Technical part | $52.48 | $104.71 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $512.86 | Facility | None | $302.00 | $346.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $169.82 | $190.55 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $91.20 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $97.72 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $134.90 Median $1,000.00 Typical High $1,445.44 | Facility | None | $134.90 | $1,000.00 | $1,445.44 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $204.17 | $234.42 | $331.13 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $114.82 | $162.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $107.15 | $123.03 | $162.18 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $1,023.29 | Facility | None | $104.71 | $147.91 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $128.82 | $724.44 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $380.19 Typical High $562.34 | Professional | 26 · Professional part | $67.61 | $380.19 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $354.81 Typical High $562.34 | Professional | TC · Technical part | $58.88 | $354.81 | $562.34 |
Network Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Facility | None | $162.18 | $162.18 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $100.00 | $125.89 | $288.40 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $60.26 | $151.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $60.26 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $234.42 | Facility | None | $104.71 | $134.90 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $416.87 | Professional | None | $125.89 | $239.88 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $169.82 | $169.82 | $251.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $83.18 | $128.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $87.10 | $87.10 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
Security Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $389.05 | $549.54 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $302.00 | Professional | 26 · Professional part | $199.53 | $234.42 | $302.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $186.21 | $218.78 | $302.00 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $741.31 | Professional | None (both parts) | $114.82 | $229.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $120.23 Typical High $380.19 | Professional | 26 · Professional part | $61.66 | $120.23 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $109.65 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $109.65 | $354.81 |
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 $109.65 Median $109.65 Typical High $316.23 | Professional | 52 · Reduced service | $109.65 | $109.65 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $125.89 | Professional | 53 · Discontinued | $43.65 | $43.65 | $125.89 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $38.02 Typical High $53.70 | Professional | 80 · Assistant surgeon | $33.11 | $38.02 | $53.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $38.02 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $33.11 | $38.02 | $53.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $38.02 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $38.02 | $53.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $33.11 Typical High $46.77 | Professional | AS · PA/NP assist | $28.84 | $33.11 | $46.77 |
Where Wisconsin sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 4th of 51
$229
MN $269UT $70.79
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.