How much rates vary
Facilitymedian $191 · 10th to 90th $69 to $331Professionalmedian $148 · 10th to 90th $60 to $398
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 $93.33 Median $93.33 Typical High $199.53 | Facility | None | $93.33 | $93.33 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $575.44 | Professional | None (both parts) | $93.33 | $93.33 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $199.53 | Professional | 26 · Professional part | $26.30 | $26.30 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $60.26 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $234.42 Typical High $489.78 | Professional | None (both parts) | $60.26 | $234.42 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $16.60 | $67.61 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $42.66 | $151.36 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $281.84 | Facility | None | $165.96 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $251.19 | Professional | None (both parts) | $61.66 | $93.33 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $77.62 | Professional | 26 · Professional part | $19.50 | $27.54 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $42.66 | $69.18 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $69.18 Median $251.19 Typical High $338.84 | Facility | None | $69.18 | $251.19 | $338.84 |
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 $112.20 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $112.20 | $144.54 | $173.78 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $43.65 | $47.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $102.33 | $123.03 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $1,412.54 | Facility | None | $53.70 | $72.44 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $60.26 | $208.93 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $20.42 | $77.62 | $117.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $40.74 | $144.54 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Network Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $83.18 | $91.20 | $208.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $28.84 | $69.18 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $63.10 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $120.23 | Facility | None | $53.70 | $69.18 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $269.15 | Professional | None | $67.61 | $141.25 | $269.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $89.13 | $89.13 | $186.21 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $25.12 | $58.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $63.10 | $128.82 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $107.15 | $316.23 | $398.11 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $43.65 | $91.20 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $87.10 | $173.78 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $56.23 | $117.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $38.90 Typical High $77.62 | Professional | 26 · Professional part | $18.20 | $38.90 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $37.15 | $79.43 | $162.18 |
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 $45.71 Median $45.71 Typical High $295.12 | Professional | 52 · Reduced service | $45.71 | $45.71 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $117.49 | Professional | 53 · Discontinued | $18.62 | $18.62 | $117.49 |
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 $18.20 Median $22.91 Typical High $27.54 | Professional | 80 · Assistant surgeon | $18.20 | $22.91 | $27.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $22.91 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $18.20 | $22.91 | $27.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $22.91 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $22.91 | $27.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $19.95 Typical High $23.99 | Professional | AS · PA/NP assist | $15.85 | $19.95 | $23.99 |
Where Wisconsin sits
The same service costs 5.6 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
$148
AK $182UT $32.36
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.