How much rates vary
Facilitymedian $1,202 · 10th to 90th $132 to $1,862Professionalmedian $191 · 10th to 90th $98 to $631
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $331.13 | Professional | None (both parts) | $131.83 | $131.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $436.52 | Professional | 26 · Professional part | $85.11 | $85.11 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,202.26 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $776.25 | Professional | None (both parts) | $97.72 | $199.53 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $512.86 | Professional | 26 · Professional part | $64.57 | $128.82 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $69.18 Typical High $269.15 | Professional | TC · Technical part | $34.67 | $69.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $467.74 | Facility | None | $275.42 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $154.88 | $169.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $104.71 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $60.26 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $263.03 | Facility | None | $97.72 | $125.89 | $263.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $263.03 | $269.15 | $269.15 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $1,445.44 Typical High $2,041.74 | Facility | None | $186.21 | $1,445.44 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $295.12 Typical High $630.96 | Professional | None (both parts) | $104.71 | $295.12 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $181.97 Typical High $407.38 | Professional | 26 · Professional part | $63.10 | $181.97 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $40.74 | $114.82 | $218.78 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $316.23 | Professional | None (both parts) | $186.21 | $281.84 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $263.03 | Facility | None | $97.72 | $125.89 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $338.84 | Professional | None | $131.83 | $234.42 | $338.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $154.88 | $154.88 | $257.04 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $100.00 | $100.00 | $169.82 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $52.48 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $128.82 | $128.82 | $128.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $478.63 | $707.95 | $912.01 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,659.59 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $97.72 | $199.53 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $123.03 Typical High $245.47 | Professional | 26 · Professional part | $60.26 | $123.03 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $38.90 | $75.86 | $154.88 |
2 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 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $50.12 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $33.11 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $33.11 |
Where Wisconsin sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 6th of 51
$200
MN $275AL $63.10
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.