How much rates vary
Facilitymedian $148 · 10th to 90th $54 to $275Professionalmedian $120 · 10th to 90th $49 to $380
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 $72.44 Median $72.44 Typical High $199.53 | Facility | None | $72.44 | $72.44 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $407.38 | Professional | None (both parts) | $50.12 | $72.44 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $144.54 | Professional | 26 · Professional part | $13.80 | $20.42 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $34.67 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $46.77 | $186.21 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $13.18 | $52.48 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $33.11 | $125.89 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $199.53 | Professional | None (both parts) | $51.29 | $75.86 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $63.10 | Professional | 26 · Professional part | $15.85 | $21.88 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $53.70 Typical High $141.25 | Professional | TC · Technical part | $35.48 | $53.70 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $53.70 Median $251.19 Typical High $338.84 | Facility | None | $53.70 | $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 $87.10 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $87.10 | $109.65 | $131.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $33.11 | $37.15 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $79.43 | $95.50 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $269.15 | Facility | None | $41.69 | $56.23 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $53.70 | $173.78 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $16.98 | $61.66 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $123.03 Typical High $426.58 | Professional | TC · Technical part | $35.48 | $123.03 | $426.58 |
Network Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $89.13 | Facility | None | $70.79 | $70.79 | $89.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $190.55 | Professional | None (both parts) | $67.61 | $70.79 | $190.55 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $21.88 | $53.70 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $48.98 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $41.69 Median $53.70 Typical High $93.33 | Facility | None | $41.69 | $53.70 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $51.29 Median $107.15 Typical High $208.93 | Professional | None | $51.29 | $107.15 | $208.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $69.18 | $69.18 | $151.36 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $19.50 | $46.77 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $104.71 | Professional | TC · Technical part | $48.98 | $48.98 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $97.72 | $257.04 | $323.59 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $42.66 | $77.62 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $60.26 | $79.43 | $173.78 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $83.18 | $120.23 | $288.40 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $23.99 | $67.61 | $100.00 |
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 $45.71 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $45.71 | $100.00 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $14.45 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $70.79 Typical High $147.91 | Professional | TC · Technical part | $32.36 | $70.79 | $147.91 |
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 $35.48 Median $35.48 Typical High $208.93 | Professional | 52 · Reduced service | $35.48 | $35.48 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $83.18 | Professional | 53 · Discontinued | $14.45 | $14.45 | $83.18 |
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 $14.13 Median $17.78 Typical High $21.38 | Professional | 80 · Assistant surgeon | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | AS · PA/NP assist | $12.30 | $15.49 | $18.62 |
Where Wisconsin sits
The same service costs 4.1 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
$120
AK $132UT $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.