How much rates vary
Facilitymedian $550 · 10th to 90th $269 to $1,259Professionalmedian $589 · 10th to 90th $269 to $1,995
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 $309.03 | Facility | None | $269.15 | $269.15 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $1,778.28 | Professional | None (both parts) | $269.15 | $269.15 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $776.25 | Professional | 26 · Professional part | $56.23 | $56.23 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $208.93 | $213.80 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $724.44 Typical High $2,344.23 | Professional | None (both parts) | $269.15 | $724.44 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $147.91 Typical High $489.78 | Professional | 26 · Professional part | $56.23 | $147.91 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $575.44 Typical High $1,862.09 | Professional | TC · Technical part | $213.80 | $575.44 | $1,862.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $69.18 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $69.18 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,202.26 | Facility | None | $707.95 | $812.83 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $977.24 | Professional | None (both parts) | $288.40 | $398.11 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $89.13 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $229.09 | $302.00 | $776.25 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $549.54 | Facility | None | $239.88 | $309.03 | $549.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $467.74 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $467.74 | $489.78 | $691.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $100.00 | $141.25 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $363.08 | $389.05 | $549.54 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $616.60 Typical High $1,348.96 | Facility | None | $288.40 | $616.60 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $891.25 Typical High $2,344.23 | Professional | None (both parts) | $363.08 | $891.25 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $194.98 Typical High $512.86 | Professional | 26 · Professional part | $81.28 | $194.98 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $707.95 Typical High $1,862.09 | Professional | TC · Technical part | $281.84 | $707.95 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $741.31 | Facility | None | $407.38 | $407.38 | $741.31 |
Network Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $363.08 | $741.31 | $851.14 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $173.78 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $173.78 | $199.53 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $575.44 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $575.44 | $660.69 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $549.54 | Facility | None | $239.88 | $309.03 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $588.84 Typical High $1,148.15 | Professional | None | $288.40 | $588.84 | $1,148.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $288.40 | $288.40 | $645.65 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $60.26 | $134.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $229.09 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,122.02 Typical High $1,737.80 | Professional | None (both parts) | $512.86 | $1,122.02 | $1,737.80 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $208.93 | $269.15 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $549.54 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $549.54 | $851.14 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $426.58 | $707.95 | $1,202.26 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $151.36 Typical High $281.84 | Professional | 26 · Professional part | $97.72 | $151.36 | $281.84 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $562.34 Typical High $912.01 | Professional | TC · Technical part | $323.59 | $562.34 | $912.01 |
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 $281.84 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $537.03 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $125.89 Typical High $234.42 | Professional | 26 · Professional part | $58.88 | $125.89 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $416.87 | $891.25 |
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 $134.90 Median $134.90 Typical High $912.01 | Professional | 52 · Reduced service | $134.90 | $134.90 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $363.08 | Professional | 53 · Discontinued | $53.70 | $53.70 | $363.08 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | 80 · Assistant surgeon | $74.13 | $77.62 | $109.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $74.13 | $77.62 | $109.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $77.62 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $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 3.3 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
$589
MN $676UT $204
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.