How much rates vary
Facilitymedian $55 · 10th to 90th $28 to $501Professionalmedian $63 · 10th to 90th $28 to $229
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 $28.18 Median $47.86 Typical High $47.86 | Facility | None | $28.18 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $47.86 Typical High $457.09 | Professional | None (both parts) | $28.18 | $47.86 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $104.71 | Professional | 26 · Professional part | $9.12 | $13.49 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $33.88 Typical High $35.48 | Professional | TC · Technical part | $22.39 | $33.88 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $83.18 Typical High $223.87 | Professional | None (both parts) | $26.30 | $83.18 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $22.91 Typical High $61.66 | Professional | 26 · Professional part | $7.41 | $22.91 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $60.26 Typical High $158.49 | Professional | TC · Technical part | $19.05 | $60.26 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.91 Median $24.55 Typical High $35.48 | Professional | None (both parts) | $8.91 | $24.55 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $112.20 | Facility | None | $66.07 | $75.86 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $37.15 | $44.67 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $9.77 | $11.48 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $31.62 | $63.10 |
DeanCare Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $52.48 | Facility | None | $22.91 | $29.51 | $52.48 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $44.67 | $46.77 | $83.18 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $12.30 | $13.18 | $22.39 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $31.62 | $33.11 | $60.26 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $295.12 Typical High $616.60 | Facility | None | $27.54 | $295.12 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $102.33 Typical High $645.65 | Professional | None (both parts) | $31.62 | $102.33 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $28.84 Typical High $229.09 | Professional | 26 · Professional part | $8.91 | $28.84 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $75.86 Typical High $537.03 | Professional | TC · Technical part | $22.91 | $75.86 | $537.03 |
Network Health Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $47.86 | Facility | None | $39.81 | $39.81 | $47.86 |
Network Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $22.91 | $61.66 | $79.43 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $17.38 Typical High $22.39 | Professional | 26 · Professional part | $6.46 | $17.38 | $22.39 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $44.67 Typical High $57.54 | Professional | TC · Technical part | $16.60 | $44.67 | $57.54 |
Prevea360 Setting Facility Modifier None Typical Low $22.91 Median $29.51 Typical High $52.48 | Facility | None | $22.91 | $29.51 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $109.65 | Professional | None | $28.18 | $60.26 | $109.65 |
Quartz Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $75.86 | Professional | None (both parts) | $37.15 | $37.15 | $75.86 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $10.47 | $21.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $54.95 | Professional | TC · Technical part | $26.30 | $26.30 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Security Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $109.65 | $158.49 | $239.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $38.02 | $39.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $87.10 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $52.48 Typical High $151.36 | Professional | None (both parts) | $26.92 | $52.48 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.13 Typical High $38.02 | Professional | 26 · Professional part | $7.59 | $14.13 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $38.90 Typical High $109.65 | Professional | TC · Technical part | $19.50 | $38.90 | $109.65 |
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 $23.99 Median $23.99 Typical High $245.47 | Professional | 52 · Reduced service | $23.99 | $23.99 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $97.72 | Professional | 53 · Discontinued | $9.55 | $9.55 | $97.72 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.41 Typical High $13.18 | Professional | 80 · Assistant surgeon | $7.08 | $7.41 | $13.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.08 Median $7.41 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $7.08 | $7.41 | $13.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.08 Median $7.41 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $7.08 | $7.41 | $13.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $6.17 Median $6.46 Typical High $11.48 | Professional | AS · PA/NP assist | $6.17 | $6.46 | $11.48 |
Where Wisconsin sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$63.10
MN $69.18MD $25.70
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.