How much rates vary
Facilitymedian $62 · 10th to 90th $25 to $1,202Professionalmedian $65 · 10th to 90th $26 to $245
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 $26.30 Median $43.65 Typical High $43.65 | Facility | None | $26.30 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $43.65 Typical High $616.60 | Professional | None (both parts) | $26.30 | $43.65 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $6.03 Typical High $131.83 | Professional | 26 · Professional part | $3.98 | $6.03 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $38.02 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $77.62 Typical High $204.17 | Professional | None (both parts) | $24.55 | $77.62 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $10.23 Typical High $26.92 | Professional | 26 · Professional part | $3.24 | $10.23 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $67.61 Typical High $177.83 | Professional | TC · Technical part | $21.38 | $67.61 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.89 Median $27.54 Typical High $32.36 | Professional | None (both parts) | $3.89 | $27.54 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $104.71 | Facility | None | $61.66 | $70.79 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $131.83 | Professional | None (both parts) | $33.88 | $43.65 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $5.13 Typical High $11.48 | Professional | 26 · Professional part | $4.57 | $5.13 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $104.71 | Professional | TC · Technical part | $29.51 | $35.48 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $47.86 | Facility | None | $21.38 | $26.92 | $47.86 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $40.74 | $42.66 | $77.62 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.89 Typical High $9.55 | Professional | 26 · Professional part | $5.62 | $5.89 | $9.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $36.31 | $67.61 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $549.54 Typical High $1,348.96 | Facility | None | $26.92 | $549.54 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $114.82 Typical High $724.44 | Professional | None (both parts) | $28.84 | $114.82 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $13.18 Typical High $288.40 | Professional | 26 · Professional part | $4.07 | $13.18 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $100.00 Typical High $660.69 | Professional | TC · Technical part | $23.99 | $100.00 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $39.81 | Facility | None | $37.15 | $37.15 | $39.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $21.38 | $57.54 | $74.13 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $8.51 Typical High $10.00 | Professional | 26 · Professional part | $2.88 | $8.51 | $10.00 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $18.20 | $50.12 | $64.57 |
Prevea360 Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $47.86 | Facility | None | $21.38 | $26.92 | $47.86 |
Quartz Setting Professional Modifier None Typical Low $26.30 Median $56.23 Typical High $102.33 | Professional | None | $26.30 | $56.23 | $102.33 |
Quartz Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $72.44 | Professional | None (both parts) | $33.88 | $33.88 | $72.44 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $4.68 Typical High $9.55 | Professional | 26 · Professional part | $4.68 | $4.68 | $9.55 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $29.51 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $102.33 | $158.49 | $239.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $158.49 | Professional | 26 · Professional part | $13.18 | $19.05 | $158.49 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $89.13 | $151.36 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $48.98 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $48.98 | $114.82 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $63.10 Typical High $169.82 | Professional | None (both parts) | $25.12 | $63.10 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.31 Median $6.31 Typical High $19.05 | Professional | 26 · Professional part | $3.31 | $6.31 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $48.98 Typical High $147.91 | Professional | TC · Technical part | $21.38 | $48.98 | $147.91 |
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 $21.88 Median $21.88 Typical High $371.54 | Professional | 52 · Reduced service | $21.88 | $21.88 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $147.91 | Professional | 53 · Discontinued | $8.71 | $8.71 | $147.91 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $6.76 Typical High $12.30 | Professional | 80 · Assistant surgeon | $6.46 | $6.76 | $12.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $6.76 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $6.46 | $6.76 | $12.30 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $6.76 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $6.76 | $12.30 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $6.03 Typical High $10.72 | Professional | AS · PA/NP assist | $5.62 | $6.03 | $10.72 |
Where Wisconsin sits
The same service costs 2.9 times more in Kansas 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
$64.57
KS $74.13MD $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.