How much rates vary
Facilitymedian $468 · 10th to 90th $182 to $2,042Professionalmedian $363 · 10th to 90th $170 to $1,096
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $1,288.25 | Professional | None (both parts) | $173.78 | $288.40 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $758.58 | Professional | 26 · Professional part | $44.67 | $67.61 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $512.86 Typical High $1,288.25 | Professional | None (both parts) | $158.49 | $512.86 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $114.82 Typical High $309.03 | Professional | 26 · Professional part | $36.31 | $114.82 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $389.05 Typical High $1,000.00 | Professional | TC · Technical part | $120.23 | $389.05 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $707.95 | Facility | None | $416.87 | $467.74 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $186.21 | $251.19 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $190.55 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $1,737.80 Typical High $2,511.89 | Facility | None | $181.97 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $269.15 | $281.84 | $478.63 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $69.18 | $109.65 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $208.93 | $218.78 | $371.54 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $1,412.54 | Facility | None | $141.25 | $208.93 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $169.82 | $588.84 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $144.54 Typical High $281.84 | Professional | 26 · Professional part | $43.65 | $144.54 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $467.74 Typical High $794.33 | Professional | TC · Technical part | $123.03 | $467.74 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $263.03 | Facility | None | $239.88 | $239.88 | $263.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $208.93 | $309.03 | $489.78 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $87.10 | $114.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $162.18 | $223.87 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $323.59 | Facility | None | $141.25 | $181.97 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $676.08 | Professional | None | $169.82 | $363.08 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $229.09 | $229.09 | $416.87 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $53.70 | $109.65 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | TC · Technical part | $173.78 | $173.78 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $831.76 Typical High $1,445.44 | Professional | None (both parts) | $537.03 | $831.76 | $1,445.44 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $128.82 | $151.36 | $194.98 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $478.63 Typical High $549.54 | Professional | TC · Technical part | $407.38 | $478.63 | $549.54 |
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 $154.88 Median $288.40 Typical High $812.83 | Professional | None (both parts) | $154.88 | $288.40 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $70.79 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $70.79 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $616.60 | Professional | TC · Technical part | $117.49 | $223.87 | $616.60 |
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 $144.54 Median $144.54 Typical High $645.65 | Professional | 52 · Reduced service | $144.54 | $144.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $263.03 | Professional | 53 · Discontinued | $58.88 | $58.88 | $263.03 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $45.71 Typical High $77.62 | Professional | 80 · Assistant surgeon | $43.65 | $45.71 | $77.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $45.71 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $43.65 | $45.71 | $77.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $45.71 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $45.71 | $77.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $39.81 Typical High $67.61 | Professional | AS · PA/NP assist | $38.02 | $39.81 | $67.61 |
Where Wisconsin sits
The same service costs 3.0 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
$363
AK $380UT $129
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.