How much rates vary
Facilitymedian $162 · 10th to 90th $59 to $282Professionalmedian $126 · 10th to 90th $52 to $347
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 $79.43 Median $79.43 Typical High $199.53 | Facility | None | $79.43 | $79.43 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $478.63 | Professional | None (both parts) | $54.95 | $79.43 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.38 Typical High $128.82 | Professional | 26 · Professional part | $12.02 | $17.38 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $51.29 | $204.17 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $44.67 Typical High $91.20 | Professional | 26 · Professional part | $11.22 | $44.67 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $147.91 Typical High $316.23 | Professional | TC · Technical part | $39.81 | $147.91 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $162.18 Typical High $245.47 | Facility | None | $144.54 | $162.18 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $218.78 | Professional | None (both parts) | $54.95 | $81.28 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $54.95 | Professional | 26 · Professional part | $14.45 | $18.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $169.82 | Professional | TC · Technical part | $41.69 | $64.57 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $251.19 Typical High $338.84 | Facility | None | $58.88 | $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 $97.72 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $97.72 | $123.03 | $147.91 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $21.38 | $28.84 | $32.36 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $75.86 | $97.72 | $117.49 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $63.10 Typical High $223.87 | Facility | None | $45.71 | $63.10 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $57.54 | $190.55 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $14.45 | $53.70 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $151.36 | $275.42 |
Network Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $100.00 | Facility | None | $79.43 | $79.43 | $100.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $190.55 | Professional | None (both parts) | $74.13 | $79.43 | $190.55 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $19.95 | $45.71 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $58.88 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $58.88 | $165.96 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $104.71 | Facility | None | $45.71 | $58.88 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $123.03 Typical High $234.42 | Professional | None | $58.88 | $123.03 | $234.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $165.96 | Professional | None (both parts) | $75.86 | $75.86 | $165.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $16.60 | $41.69 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $60.26 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $112.20 | $281.84 | $363.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $42.66 | $70.79 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $89.13 | $213.80 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $97.72 | $186.21 | $331.13 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $20.89 | $56.23 | $75.86 |
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 $51.29 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $51.29 | $107.15 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.92 Typical High $53.70 | Professional | 26 · Professional part | $12.88 | $26.92 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $81.28 Typical High $165.96 | Professional | TC · Technical part | $39.81 | $81.28 | $165.96 |
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 $39.81 Median $39.81 Typical High $245.47 | Professional | 52 · Reduced service | $39.81 | $39.81 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $97.72 | Professional | 53 · Discontinued | $15.85 | $15.85 | $97.72 |
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 $15.85 Median $19.95 Typical High $23.99 | Professional | 80 · Assistant surgeon | $15.85 | $19.95 | $23.99 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $19.95 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $15.85 | $19.95 | $23.99 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $19.95 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $19.95 | $23.99 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $17.38 Typical High $20.89 | Professional | AS · PA/NP assist | $13.80 | $17.38 | $20.89 |
Where Wisconsin sits
The same service costs 4.5 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
$129
AK $148UT $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.