How much rates vary
Facilitymedian $100 · 10th to 90th $35 to $275Professionalmedian $78 · 10th to 90th $32 to $209
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 $47.86 Median $47.86 Typical High $199.53 | Facility | None | $47.86 | $47.86 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $263.03 | Professional | None (both parts) | $34.67 | $47.86 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $85.11 | Professional | 26 · Professional part | $8.71 | $12.59 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $38.90 | Professional | TC · Technical part | $25.70 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $109.65 Typical High $245.47 | Professional | None (both parts) | $30.20 | $109.65 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $8.13 | $33.88 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $22.91 | $91.20 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $147.91 | Facility | None | $87.10 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $51.29 Typical High $141.25 | Professional | None (both parts) | $38.02 | $51.29 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $39.81 | Professional | 26 · Professional part | $10.00 | $13.18 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $102.33 | Professional | TC · Technical part | $26.92 | $38.02 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $251.19 Typical High $338.84 | Facility | None | $35.48 | $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 $58.88 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $58.88 | $75.86 | $89.13 |
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 $43.65 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $54.95 | $66.07 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $223.87 | Facility | None | $28.18 | $38.02 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $35.48 | $128.82 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $10.47 | $38.02 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $25.12 | $91.20 | $186.21 |
Network Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $63.10 | Facility | None | $47.86 | $47.86 | $63.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $128.82 | Professional | None (both parts) | $44.67 | $51.29 | $128.82 |
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 $32.36 Median $37.15 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $37.15 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $63.10 | Facility | None | $28.18 | $35.48 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $141.25 | Professional | None | $36.31 | $74.13 | $141.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $46.77 | $46.77 | $100.00 |
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 $33.88 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $33.88 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $69.18 | $177.83 | $213.80 |
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 $44.67 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $44.67 | $60.26 | $131.83 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $58.88 | $100.00 | $208.93 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $15.49 | $43.65 | $52.48 |
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 $31.62 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $31.62 | $66.07 | $131.83 |
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 $22.39 Median $47.86 Typical High $93.33 | Professional | TC · Technical part | $22.39 | $47.86 | $93.33 |
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 $23.99 Median $23.99 Typical High $131.83 | Professional | 52 · Reduced service | $23.99 | $23.99 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $52.48 | Professional | 53 · Discontinued | $9.77 | $9.77 | $52.48 |
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 $9.55 Median $12.02 Typical High $14.45 | Professional | 80 · Assistant surgeon | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $10.47 Typical High $12.59 | Professional | AS · PA/NP assist | $8.32 | $10.47 | $12.59 |
Where Wisconsin sits
The same service costs 3.5 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
$79.43
AK $87.10FL $25.12
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.