How much rates vary
Facilitymedian $676 · 10th to 90th $257 to $2,818Professionalmedian $513 · 10th to 90th $245 to $1,585
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $1,819.70 | Professional | None (both parts) | $257.04 | $416.87 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $1,548.82 | Professional | 26 · Professional part | $77.62 | $117.49 | $1,548.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $186.21 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $724.44 Typical High $1,949.84 | Professional | None (both parts) | $223.87 | $724.44 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $199.53 Typical High $537.03 | Professional | 26 · Professional part | $63.10 | $199.53 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $524.81 Typical High $1,380.38 | Professional | TC · Technical part | $165.96 | $524.81 | $1,380.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $77.62 | $218.78 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,000.00 | Facility | None | $588.84 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $281.84 | $354.81 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $100.00 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $204.17 | $257.04 | $524.81 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $2,398.83 Typical High $3,548.13 | Facility | None | $257.04 | $2,398.83 | $3,548.13 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $380.19 Median $407.38 Typical High $724.44 | Professional | None (both parts) | $380.19 | $407.38 | $724.44 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $120.23 | $190.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $275.42 | $288.40 | $537.03 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $1,412.54 Typical High $2,089.30 | Facility | None | $239.88 | $1,412.54 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $257.04 | $851.14 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $251.19 Typical High $512.86 | Professional | 26 · Professional part | $75.86 | $251.19 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $645.65 Typical High $1,047.13 | Professional | TC · Technical part | $177.83 | $645.65 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $398.11 | Facility | None | $346.74 | $346.74 | $398.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $302.00 | $478.63 | $707.95 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $151.36 | $194.98 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $331.13 | $501.19 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $457.09 | Facility | None | $199.53 | $257.04 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $954.99 | Professional | None | $245.47 | $524.81 | $954.99 |
Quartz Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $323.59 | $323.59 | $630.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $91.20 | $190.55 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $234.42 | $234.42 | $426.58 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,202.26 Typical High $2,089.30 | Professional | None (both parts) | $645.65 | $1,202.26 | $2,089.30 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $338.84 | Professional | 26 · Professional part | $223.87 | $263.03 | $338.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $691.83 Typical High $776.25 | Professional | TC · Technical part | $346.74 | $691.83 | $776.25 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $1,174.90 | Professional | None (both parts) | $229.09 | $436.52 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $123.03 Typical High $331.13 | Professional | 26 · Professional part | $64.57 | $123.03 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $851.14 | Professional | TC · Technical part | $165.96 | $316.23 | $851.14 |
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 $208.93 Median $208.93 Typical High $912.01 | Professional | 52 · Reduced service | $208.93 | $208.93 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $363.08 | Professional | 53 · Discontinued | $83.18 | $83.18 | $363.08 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $64.57 Typical High $114.82 | Professional | 80 · Assistant surgeon | $61.66 | $64.57 | $114.82 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $64.57 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $61.66 | $64.57 | $114.82 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $64.57 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $64.57 | $114.82 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $56.23 Typical High $102.33 | Professional | AS · PA/NP assist | $53.70 | $56.23 | $102.33 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska 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· 2nd of 51
$513
AK $562UT $158
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.