How much rates vary
Facilitymedian $117 · 10th to 90th $43 to $275Professionalmedian $91 · 10th to 90th $39 to $251
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 $57.54 Median $57.54 Typical High $199.53 | Facility | None | $57.54 | $57.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $269.15 | Professional | None (both parts) | $44.67 | $57.54 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $75.86 | Professional | 26 · Professional part | $10.23 | $13.18 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $37.15 | $123.03 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $8.51 | $33.88 | $69.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $223.87 Typical High $457.09 | Professional | 50 · Both sides | $56.23 | $223.87 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $28.84 | $114.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $177.83 | Facility | None | $104.71 | $117.49 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $154.88 | Professional | None (both parts) | $38.90 | $60.26 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $40.74 | Professional | 26 · Professional part | $10.47 | $14.13 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $45.71 Typical High $120.23 | Professional | TC · Technical part | $29.51 | $45.71 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $42.66 Median $251.19 Typical High $338.84 | Facility | None | $42.66 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $323.59 Median $407.38 Typical High $512.86 | Facility | 50 · Both sides | $323.59 | $407.38 | $512.86 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $70.79 | $89.13 | $107.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $21.88 | $24.55 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $131.83 Typical High $158.49 | Professional | 50 · Both sides | $104.71 | $131.83 | $158.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $64.57 | $83.18 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $269.15 | Facility | None | $33.11 | $45.71 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $40.74 | $134.90 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $10.72 | $39.81 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $30.20 | $104.71 | $194.98 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $52.48 | $58.88 | $154.88 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $34.67 | Professional | 26 · Professional part | $12.59 | $14.79 | $34.67 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $44.67 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $75.86 | Facility | None | $33.11 | $42.66 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $165.96 | Professional | None | $42.66 | $89.13 | $165.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $117.49 | Professional | None (both parts) | $54.95 | $54.95 | $117.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $12.59 | $30.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $42.66 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $69.18 | $208.93 | $257.04 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $19.95 | $30.20 | $50.12 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $158.49 | Professional | TC · Technical part | $52.48 | $61.66 | $158.49 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $75.86 Typical High $154.88 | Professional | None (both parts) | $37.15 | $75.86 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $9.33 | $19.95 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $27.54 | $57.54 | $114.82 |
10 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 $28.84 Median $28.84 Typical High $134.90 | Professional | 52 · Reduced service | $28.84 | $28.84 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $53.70 | Professional | 53 · Discontinued | $11.48 | $11.48 | $53.70 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 80 · Assistant surgeon | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | AS · PA/NP assist | $9.77 | $12.30 | $14.79 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$91.20
AK $112FL $28.84
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.