How much rates vary
Facilitymedian $115 · 10th to 90th $42 to $275Professionalmedian $91 · 10th to 90th $37 to $245
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 $56.23 Median $56.23 Typical High $199.53 | Facility | None | $56.23 | $56.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $281.84 | Professional | None (both parts) | $39.81 | $56.23 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $79.43 | Professional | 26 · Professional part | $8.51 | $12.59 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $37.15 | $147.91 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $8.13 | $32.36 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $28.84 | $104.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $173.78 | Facility | None | $102.33 | $114.82 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $57.54 Typical High $154.88 | Professional | None (both parts) | $38.90 | $57.54 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $39.81 | Professional | 26 · Professional part | $10.00 | $13.49 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $120.23 | Professional | TC · Technical part | $29.51 | $44.67 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $251.19 Typical High $338.84 | Facility | None | $41.69 | $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 $69.18 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $69.18 | $87.10 | $104.71 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $20.89 | $23.44 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $53.70 | $64.57 | $83.18 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $44.67 Typical High $223.87 | Facility | None | $33.11 | $44.67 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $39.81 | $141.25 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $10.47 | $38.02 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $29.51 | $104.71 | $190.55 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $69.18 | Facility | None | $56.23 | $56.23 | $69.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $151.36 | Professional | None (both parts) | $52.48 | $53.70 | $151.36 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $33.88 | Professional | 26 · Professional part | $12.02 | $13.80 | $33.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $117.49 | Professional | TC · Technical part | $40.74 | $40.74 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $74.13 | Facility | None | $33.11 | $41.69 | $74.13 |
Quartz Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $165.96 | Professional | None | $41.69 | $85.11 | $165.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $117.49 | Professional | None (both parts) | $53.70 | $53.70 | $117.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $12.02 | $29.51 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $41.69 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Security Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $75.86 | $199.53 | $257.04 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $30.20 | $48.98 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $147.91 | Professional | TC · Technical part | $51.29 | $64.57 | $147.91 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $66.07 | $109.65 | $239.88 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $15.49 | $43.65 | $64.57 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $52.48 | $100.00 | $190.55 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $74.13 Typical High $154.88 | Professional | None (both parts) | $35.48 | $74.13 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $19.05 Typical High $38.02 | Professional | 26 · Professional part | $9.12 | $19.05 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $54.95 Typical High $114.82 | Professional | TC · Technical part | $27.54 | $54.95 | $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 $28.18 Median $28.18 Typical High $144.54 | Professional | 52 · Reduced service | $28.18 | $28.18 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $57.54 | Professional | 53 · Discontinued | $11.22 | $11.22 | $57.54 |
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 $10.96 Median $13.80 Typical High $16.60 | Professional | 80 · Assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $12.30 Typical High $14.79 | Professional | AS · PA/NP assist | $9.55 | $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
$93.33
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.