How much rates vary
Facilitymedian $550 · 10th to 90th $295 to $871Professionalmedian $575 · 10th to 90th $275 to $2,291
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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $1,202.26 | Professional | None (both parts) | $295.12 | $295.12 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $2,041.74 | Professional | 26 · Professional part | $245.47 | $245.47 | $2,041.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $2,137.96 | Professional | None (both parts) | $275.42 | $549.54 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $457.09 Typical High $1,778.28 | Professional | 26 · Professional part | $229.09 | $457.09 | $1,778.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $331.13 | Professional | TC · Technical part | $44.67 | $77.62 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Facility | None | $741.31 | $851.14 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $426.58 | $478.63 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $389.05 Typical High $776.25 | Professional | 26 · Professional part | $354.81 | $389.05 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $79.43 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $575.44 | Facility | None | $263.03 | $331.13 | $575.44 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $512.86 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $512.86 | $588.84 | $812.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $489.78 Typical High $691.83 | Professional | 26 · Professional part | $426.58 | $489.78 | $691.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $91.20 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $91.20 | $123.03 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $758.58 | Facility | None | $263.03 | $389.05 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,148.15 Typical High $3,548.13 | Professional | None (both parts) | $346.74 | $1,148.15 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $1,023.29 Typical High $1,479.11 | Professional | 26 · Professional part | $302.00 | $1,023.29 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $151.36 Typical High $2,137.96 | Professional | TC · Technical part | $41.69 | $151.36 | $2,137.96 |
Network Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $537.03 | Facility | None | $426.58 | $426.58 | $537.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $245.47 | $316.23 | $707.95 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $263.03 Typical High $562.34 | Professional | 26 · Professional part | $208.93 | $263.03 | $562.34 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $51.29 | $83.18 |
Prevea360 Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $575.44 | Facility | None | $263.03 | $331.13 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $1,230.27 | Professional | None | $309.03 | $616.60 | $1,230.27 |
Quartz Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $426.58 | $426.58 | $851.14 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $562.34 | Professional | 26 · Professional part | $354.81 | $354.81 | $562.34 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $69.18 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $794.33 | $794.33 | $794.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,122.02 Typical High $2,454.71 | Professional | None (both parts) | $812.83 | $1,122.02 | $2,454.71 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $724.44 Typical High $1,000.00 | Professional | 26 · Professional part | $691.83 | $724.44 | $1,000.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $87.10 | $95.50 | $138.04 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $1,148.15 | Professional | None (both parts) | $302.00 | $588.84 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $512.86 Typical High $1,023.29 | Professional | 26 · Professional part | $263.03 | $512.86 | $1,023.29 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $40.74 | $83.18 | $144.54 |
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 $602.56 | Professional | 52 · Reduced service | $144.54 | $144.54 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $245.47 | Professional | 53 · Discontinued | $58.88 | $58.88 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $93.33 Typical High $131.83 | Professional | 80 · Assistant surgeon | $81.28 | $93.33 | $131.83 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $93.33 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $81.28 | $93.33 | $131.83 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $93.33 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $93.33 | $131.83 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $81.28 Typical High $114.82 | Professional | AS · PA/NP assist | $70.79 | $81.28 | $114.82 |
Where Wisconsin sits
The same service costs 3.3 times more in Minnesota 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· 3rd of 51
$575
MN $661UT $200
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.