How much rates vary
Facilitymedian $138 · 10th to 90th $50 to $437Professionalmedian $112 · 10th to 90th $48 to $316
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 $67.61 Median $67.61 Typical High $199.53 | Facility | None | $67.61 | $67.61 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $67.61 Typical High $457.09 | Professional | None (both parts) | $51.29 | $67.61 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.42 Typical High $177.83 | Professional | 26 · Professional part | $16.60 | $20.42 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $33.88 | $46.77 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $43.65 | $158.49 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $50.12 Typical High $112.20 | Professional | 26 · Professional part | $13.18 | $50.12 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $120.23 Typical High $245.47 | Professional | TC · Technical part | $30.20 | $120.23 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $204.17 | Facility | None | $120.23 | $138.04 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $223.87 | Professional | None (both parts) | $58.88 | $70.79 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $69.18 | Professional | 26 · Professional part | $19.05 | $22.39 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $147.91 | Professional | TC · Technical part | $38.90 | $48.98 | $147.91 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $398.11 Typical High $537.03 | Facility | None | $50.12 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $346.74 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $24.55 | $33.11 | $39.81 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $72.44 | $87.10 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $52.48 Typical High $269.15 | Facility | None | $38.90 | $52.48 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $51.29 | $186.21 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $63.10 Typical High $107.15 | Professional | 26 · Professional part | $17.38 | $63.10 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $33.88 | $123.03 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $97.72 | Facility | None | $66.07 | $66.07 | $97.72 |
Network Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $177.83 | Professional | None (both parts) | $61.66 | $77.62 | $177.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $26.92 | $53.70 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $50.12 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $89.13 | Facility | None | $38.90 | $50.12 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $199.53 | Professional | None | $48.98 | $100.00 | $199.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $64.57 | $64.57 | $144.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $19.50 | $48.98 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $44.67 | $95.50 |
Security Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $97.72 | $275.42 | $302.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $60.26 | $95.50 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $91.20 | $177.83 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $77.62 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $77.62 | $128.82 | $295.12 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $23.99 | $67.61 | $102.33 |
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 $46.77 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $46.77 | $100.00 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $15.85 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $66.07 Typical High $147.91 | Professional | TC · Technical part | $30.20 | $66.07 | $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 $33.88 Median $33.88 Typical High $234.42 | Professional | 52 · Reduced service | $33.88 | $33.88 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $93.33 | Professional | 53 · Discontinued | $13.49 | $13.49 | $93.33 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $75.86 | Facility | AS · PA/NP assist | $47.86 | $60.26 | $75.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $17.78 Typical High $19.95 | Professional | 80 · Assistant surgeon | $13.18 | $17.78 | $19.95 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $17.78 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $13.18 | $17.78 | $19.95 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $17.78 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $17.78 | $19.95 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $15.85 Typical High $17.38 | Professional | AS · PA/NP assist | $11.48 | $15.85 | $17.38 |
Where Wisconsin sits
The same service costs 4.0 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· 2nd of 51
$115
AK $132UT $33.11
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.