How much rates vary
Facilitymedian $126 · 10th to 90th $45 to $229Professionalmedian $100 · 10th to 90th $40 to $251
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 $60.26 Median $60.26 Typical High $199.53 | Facility | None | $60.26 | $60.26 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $257.04 | Professional | None (both parts) | $60.26 | $60.26 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $58.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $47.86 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $38.02 | $151.36 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $7.41 | $30.20 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $30.20 | $120.23 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $186.21 | Facility | None | $109.65 | $125.89 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $165.96 | Professional | None (both parts) | $41.69 | $61.66 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $37.15 | Professional | 26 · Professional part | $10.47 | $12.59 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $50.12 Typical High $131.83 | Professional | TC · Technical part | $33.11 | $50.12 | $131.83 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $186.21 Typical High $251.19 | Facility | None | $44.67 | $186.21 | $251.19 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $251.19 | Facility | TC · Technical part | $162.18 | $199.53 | $251.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $74.13 | $93.33 | $114.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $75.86 | $91.20 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $616.60 | Facility | None | $33.88 | $47.86 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $39.81 | $144.54 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $9.12 | $33.11 | $56.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $31.62 | $128.82 | $194.98 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $79.43 | Facility | None | $57.54 | $57.54 | $79.43 |
Network Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $154.88 | Professional | None (both parts) | $53.70 | $61.66 | $154.88 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $10.47 | $13.18 | $30.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $47.86 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $33.88 Median $44.67 Typical High $79.43 | Facility | None | $33.88 | $44.67 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $95.50 Typical High $177.83 | Professional | None | $47.86 | $95.50 | $177.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $125.89 | Professional | None (both parts) | $58.88 | $58.88 | $125.89 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $11.48 | $25.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $100.00 | Professional | TC · Technical part | $46.77 | $46.77 | $100.00 |
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 $77.62 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $77.62 | $223.87 | $257.04 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $15.14 | $19.50 | $44.67 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $177.83 | Professional | TC · Technical part | $51.29 | $70.79 | $177.83 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $81.28 Typical High $181.97 | Professional | None (both parts) | $37.15 | $81.28 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.78 Typical High $33.88 | Professional | 26 · Professional part | $8.32 | $17.78 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $64.57 Typical High $151.36 | Professional | TC · Technical part | $28.84 | $64.57 | $151.36 |
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 $30.20 Median $30.20 Typical High $128.82 | Professional | 52 · Reduced service | $30.20 | $30.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $51.29 | Professional | 53 · Discontinued | $12.30 | $12.30 | $51.29 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $25.70 Median $32.36 Typical High $40.74 | Facility | 80 · Assistant surgeon | $25.70 | $32.36 | $40.74 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $32.36 Typical High $40.74 | Facility | 81 · Minimal assistant surgeon | $25.70 | $32.36 | $40.74 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $32.36 Typical High $40.74 | Facility | 82 · Assistant surgeon, no resident | $25.70 | $32.36 | $40.74 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $22.39 Median $28.18 Typical High $35.48 | Facility | AS · PA/NP assist | $22.39 | $28.18 | $35.48 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $15.14 Typical High $18.20 | Professional | 80 · Assistant surgeon | $12.02 | $15.14 | $18.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $15.14 Typical High $18.20 | Professional | 81 · Minimal assistant surgeon | $12.02 | $15.14 | $18.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $15.14 Typical High $18.20 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $15.14 | $18.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $13.18 Typical High $15.85 | Professional | AS · PA/NP assist | $10.47 | $13.18 | $15.85 |
Where Wisconsin sits
The same service costs 3.6 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
$102
AK $115UT $31.62
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.