How much rates vary
Facilitymedian $398 · 10th to 90th $251 to $776Professionalmedian $525 · 10th to 90th $251 to $1,660
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $1,778.28 | Professional | None (both parts) | $251.19 | $251.19 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $537.03 | Professional | 26 · Professional part | $37.15 | $37.15 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $213.80 | $213.80 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $676.08 Typical High $2,187.76 | Professional | None (both parts) | $257.04 | $676.08 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $97.72 Typical High $316.23 | Professional | 26 · Professional part | $37.15 | $97.72 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $575.44 Typical High $1,862.09 | Professional | TC · Technical part | $218.78 | $575.44 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,148.15 | Facility | None | $676.08 | $758.58 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $269.15 | $354.81 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $50.12 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $229.09 | $302.00 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $512.86 | Facility | None | $223.87 | $269.15 | $512.86 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $436.52 | $457.09 | $645.65 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $67.61 | $95.50 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $371.54 | $389.05 | $549.54 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $616.60 | Facility | None | $223.87 | $288.40 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $776.25 Typical High $1,621.81 | Professional | None (both parts) | $323.59 | $776.25 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $46.77 | $112.20 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $676.08 Typical High $1,380.38 | Professional | TC · Technical part | $275.42 | $676.08 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $269.15 | $346.74 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $512.86 | Facility | None | $223.87 | $269.15 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $1,071.52 | Professional | None | $275.42 | $562.34 | $1,071.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $269.15 | $269.15 | $602.56 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $39.81 | $89.13 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,023.29 Typical High $1,621.81 | Professional | None (both parts) | $549.54 | $1,023.29 | $1,621.81 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $93.33 | $104.71 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $549.54 Typical High $630.96 | Professional | TC · Technical part | $467.74 | $549.54 | $630.96 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,174.90 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $102.33 | $154.88 |
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 $269.15 Median $457.09 Typical High $1,096.48 | Professional | None (both parts) | $269.15 | $457.09 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $39.81 | $67.61 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $933.25 | Professional | TC · Technical part | $234.42 | $398.11 | $933.25 |
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 $125.89 Median $125.89 Typical High $891.25 | Professional | 52 · Reduced service | $125.89 | $125.89 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $354.81 | Professional | 53 · Discontinued | $50.12 | $50.12 | $354.81 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | 80 · Assistant surgeon | $69.18 | $72.44 | $104.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $69.18 | $72.44 | $104.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $72.44 | $104.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | AS · PA/NP assist | $60.26 | $64.57 | $91.20 |
Where Wisconsin sits
The same service costs 3.1 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· 3rd of 51
$525
AK $631UT $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.