How much rates vary
Facilitymedian $1,778 · 10th to 90th $347 to $40,738Professionalmedian $2,138 · 10th to 90th $708 to $7,943
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 $933.25 Median $933.25 Typical High $14,454.40 | Facility | None | $933.25 | $933.25 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $4,365.16 | Professional | None (both parts) | $933.25 | $933.25 | $4,365.16 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $3,090.30 | Professional | 26 · Professional part | $691.83 | $691.83 | $3,090.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $26,915.35 Typical High $54,954.09 | Facility | None | $1,202.26 | $26,915.35 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,995.26 Typical High $4,365.16 | Professional | None (both parts) | $575.44 | $1,995.26 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $1,412.54 Typical High $3,235.94 | Professional | 26 · Professional part | $416.87 | $1,412.54 | $3,235.94 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $501.19 Typical High $1,096.48 | Professional | TC · Technical part | $144.54 | $501.19 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,754.40 Typical High $8,511.38 | Facility | None | $5,128.61 | $5,754.40 | $8,511.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $3,981.07 Typical High $6,456.54 | Professional | None (both parts) | $724.44 | $3,981.07 | $6,456.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $1,071.52 Typical High $1,584.89 | Professional | 26 · Professional part | $537.03 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $3,235.94 Typical High $5,128.61 | Professional | TC · Technical part | $186.21 | $3,235.94 | $5,128.61 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $1,819.70 Typical High $3,890.45 | Facility | None | $691.83 | $1,819.70 | $3,890.45 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $5,248.07 Typical High $5,248.07 | Professional | None (both parts) | $1,348.96 | $5,248.07 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $1,096.48 Typical High $7,079.46 | Facility | None | $218.78 | $1,096.48 | $7,079.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $5,495.41 Typical High $10,715.19 | Professional | None (both parts) | $1,174.90 | $5,495.41 | $10,715.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $1,230.27 Typical High $2,511.89 | Professional | 26 · Professional part | $467.74 | $1,230.27 | $2,511.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $4,677.35 Typical High $9,549.93 | Professional | TC · Technical part | $436.52 | $4,677.35 | $9,549.93 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Prevea360 Setting Facility Modifier None Typical Low $691.83 Median $1,819.70 Typical High $3,890.45 | Facility | None | $691.83 | $1,819.70 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $1,258.93 Typical High $1,905.46 | Professional | None | $588.84 | $1,258.93 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,659.59 | Professional | None (both parts) | $724.44 | $724.44 | $1,659.59 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $1,122.02 | Professional | 26 · Professional part | $537.03 | $537.03 | $1,122.02 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $186.21 | $416.87 |
Security Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
Security Health Setting Facility Modifier None Typical Low $37,153.52 Median $40,738.03 Typical High $52,480.75 | Facility | None | $37,153.52 | $40,738.03 | $52,480.75 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $13,489.63 Typical High $18,620.87 | Professional | None (both parts) | $2,754.23 | $13,489.63 | $18,620.87 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $14,791.08 | Facility | None | $218.78 | $1,202.26 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $5,623.41 Typical High $12,022.64 | Professional | None (both parts) | $1,000.00 | $5,623.41 | $12,022.64 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $1,230.27 Typical High $2,511.89 | Professional | 26 · Professional part | $446.68 | $1,230.27 | $2,511.89 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $4,466.84 Typical High $9,549.93 | Professional | TC · Technical part | $398.11 | $4,466.84 | $9,549.93 |
5 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 $467.74 Median $467.74 Typical High $2,187.76 | Professional | 52 · Reduced service | $467.74 | $467.74 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $870.96 | Professional | 53 · Discontinued | $186.21 | $186.21 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $3,235.94 | Professional | 54 · Surgery only | $691.83 | $691.83 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $660.69 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $436.52 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $436.52 |
Where Wisconsin sits
The same service costs 5.6 times more in Nebraska 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
$1,995
NE $2,818MD $501
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.