How much rates vary
Facilitymedian $81 · 10th to 90th $31 to $1,148Professionalmedian $89 · 10th to 90th $31 to $263
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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $177.83 | Professional | None (both parts) | $30.90 | $30.90 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $95.50 Typical High $263.03 | Professional | None (both parts) | $38.90 | $95.50 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.84 Typical High $79.43 | Professional | 26 · Professional part | $12.30 | $28.84 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $66.07 Typical High $173.78 | Professional | TC · Technical part | $26.92 | $66.07 | $173.78 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $933.25 Typical High $1,258.93 | Facility | None | $46.77 | $933.25 | $1,258.93 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $81.28 | Facility | None | $36.31 | $43.65 | $81.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $72.44 | $72.44 | $74.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $81.28 | Facility | None | $36.31 | $43.65 | $81.28 |
Prevea360 Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $123.03 | Professional | None | $43.65 | $81.28 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $75.86 | $81.28 | $97.72 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $128.82 Median $158.49 Typical High $199.53 | Facility | 80 · Assistant surgeon | $128.82 | $158.49 | $199.53 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $158.49 Typical High $199.53 | Facility | 81 · Minimal assistant surgeon | $128.82 | $158.49 | $199.53 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $158.49 Typical High $199.53 | Facility | 82 · Assistant surgeon, no resident | $128.82 | $158.49 | $199.53 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $112.20 Median $138.04 Typical High $177.83 | Facility | AS · PA/NP assist | $112.20 | $138.04 | $177.83 |
Where Wisconsin sits
The same service costs 9.5 times more in Texas than in West Virginia. 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· 8th of 51
$89.13
TX $263WV $27.54
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.