How much rates vary
Facilitymedian $110 · 10th to 90th $40 to $275Professionalmedian $91 · 10th to 90th $38 to $229
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 $53.70 Median $53.70 Typical High $199.53 | Facility | None | $53.70 | $53.70 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $338.84 | Professional | None (both parts) | $40.74 | $53.70 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $102.33 | Professional | 26 · Professional part | $11.22 | $13.18 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $28.84 | $40.74 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $34.67 | $138.04 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $8.71 | $33.88 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $26.30 | $102.33 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $11.22 | $32.36 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $165.96 | Facility | None | $97.72 | $109.65 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $154.88 | Professional | None (both parts) | $41.69 | $56.23 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $48.98 | Professional | 26 · Professional part | $12.59 | $14.45 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $41.69 Typical High $109.65 | Professional | TC · Technical part | $28.18 | $41.69 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $39.81 Median $251.19 Typical High $338.84 | Facility | None | $39.81 | $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 $66.07 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $66.07 | $89.13 | $100.00 |
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 TC · Technical part Typical Low $50.12 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $63.10 | $75.86 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $269.15 | Facility | None | $33.11 | $70.79 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $40.74 | $141.25 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $12.59 | $43.65 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $28.84 | $104.71 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $77.62 | Facility | None | $52.48 | $52.48 | $77.62 |
Network Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $144.54 | Professional | None (both parts) | $48.98 | $60.26 | $144.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $19.50 | $34.67 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $40.74 | $107.15 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $70.79 | Facility | None | $30.90 | $39.81 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $158.49 | Professional | None | $39.81 | $81.28 | $158.49 |
Quartz Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $114.82 | Professional | None (both parts) | $51.29 | $51.29 | $114.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $33.11 | Professional | 26 · Professional part | $12.59 | $12.59 | $33.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $38.90 | $81.28 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Security Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $77.62 | $218.78 | $239.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $39.81 | $70.79 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $147.91 | Professional | TC · Technical part | $50.12 | $61.66 | $147.91 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $234.42 | Professional | None (both parts) | $63.10 | $104.71 | $234.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $16.22 | $45.71 | $75.86 |
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 $36.31 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $36.31 | $75.86 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $10.47 | $23.44 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $25.12 | $53.70 | $107.15 |
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 $26.92 Median $26.92 Typical High $169.82 | Professional | 52 · Reduced service | $26.92 | $26.92 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $67.61 | Professional | 53 · Discontinued | $10.72 | $10.72 | $67.61 |
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 $10.72 Median $14.45 Typical High $16.22 | Professional | 80 · Assistant surgeon | $10.72 | $14.45 | $16.22 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $14.45 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $10.72 | $14.45 | $16.22 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $14.45 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $14.45 | $16.22 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $12.59 Typical High $14.13 | Professional | AS · PA/NP assist | $9.33 | $12.59 | $14.13 |
Where Wisconsin sits
The same service costs 3.6 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· 2nd of 51
$91.20
AK $105FL $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.