How much rates vary
Facilitymedian $501 · 10th to 90th $269 to $813Professionalmedian $589 · 10th to 90th $269 to $1,905
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $1,412.54 | Professional | None (both parts) | $269.15 | $269.15 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $489.78 | Professional | 26 · Professional part | $46.77 | $46.77 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $218.78 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $724.44 Typical High $2,290.87 | Professional | None (both parts) | $275.42 | $724.44 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $123.03 Typical High $398.11 | Professional | 26 · Professional part | $46.77 | $123.03 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $602.56 Typical High $1,905.46 | Professional | TC · Technical part | $229.09 | $602.56 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,202.26 | Facility | None | $707.95 | $794.33 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $281.84 | $380.19 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $63.10 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $234.42 | $309.03 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $537.03 | Facility | None | $239.88 | $302.00 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $457.09 | $478.63 | $691.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $83.18 | $117.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $398.11 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $398.11 | $575.44 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $616.60 | Facility | None | $239.88 | $363.08 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $346.74 | $870.96 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $151.36 Typical High $588.84 | Professional | 26 · Professional part | $57.54 | $151.36 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $724.44 Typical High $1,621.81 | Professional | TC · Technical part | $281.84 | $724.44 | $1,621.81 |
Network Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $758.58 | Facility | None | $416.87 | $416.87 | $758.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $354.81 | $707.95 | $812.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $63.10 | $107.15 | $117.49 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $602.56 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $602.56 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $537.03 | Facility | None | $239.88 | $302.00 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,202.26 | Professional | None | $302.00 | $630.96 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $281.84 | $281.84 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $50.12 | $112.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $234.42 | $234.42 | $549.54 |
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 None (both parts) Typical Low $467.74 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $467.74 | $1,148.15 | $1,698.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $117.49 | $144.54 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $562.34 Typical High $1,023.29 | Professional | TC · Technical part | $478.63 | $562.34 | $1,023.29 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $125.89 | $190.55 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $1,122.02 | Professional | None (both parts) | $275.42 | $524.81 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $194.98 | Professional | 26 · Professional part | $48.98 | $83.18 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $457.09 Typical High $912.01 | Professional | TC · Technical part | $229.09 | $457.09 | $912.01 |
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 $131.83 Median $131.83 Typical High $707.95 | Professional | 52 · Reduced service | $131.83 | $131.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $281.84 | Professional | 53 · Discontinued | $53.70 | $53.70 | $281.84 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $72.44 Median $77.62 Typical High $109.65 | Professional | 80 · Assistant surgeon | $72.44 | $77.62 | $109.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $72.44 Median $77.62 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $72.44 | $77.62 | $109.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $72.44 Median $77.62 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $72.44 | $77.62 | $109.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $67.61 Typical High $97.72 | Professional | AS · PA/NP assist | $64.57 | $67.61 | $97.72 |
Where Wisconsin sits
The same service costs 3.0 times more in Alaska 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· 2nd of 51
$589
AK $646UT $214
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.