How much rates vary
Facilitymedian $58 · 10th to 90th $21 to $224Professionalmedian $49 · 10th to 90th $21 to $195
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 $28.18 Median $28.18 Typical High $199.53 | Facility | None | $28.18 | $28.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $199.53 | Professional | None (both parts) | $22.91 | $28.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $239.88 | Professional | 26 · Professional part | $10.47 | $15.14 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $13.18 Typical High $16.22 | Professional | TC · Technical part | $10.72 | $13.18 | $16.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.38 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $17.38 | $69.18 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $9.55 | $38.02 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $7.76 | $31.62 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.72 Median $13.18 Typical High $23.99 | Professional | None (both parts) | $10.72 | $13.18 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $85.11 | Facility | None | $50.12 | $57.54 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $102.33 | Professional | None (both parts) | $26.92 | $30.90 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $45.71 | Professional | 26 · Professional part | $12.30 | $16.22 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.45 Typical High $47.86 | Professional | TC · Technical part | $12.59 | $14.45 | $47.86 |
DeanCare Setting Facility Modifier None Typical Low $20.89 Median $186.21 Typical High $251.19 | Facility | None | $20.89 | $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 $34.67 Median $45.71 Typical High $52.48 | Professional | None (both parts) | $34.67 | $45.71 | $52.48 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $18.62 | $25.12 | $28.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $24.55 | Professional | TC · Technical part | $16.22 | $20.42 | $24.55 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $223.87 | Facility | None | $15.85 | $22.39 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $22.39 Median $81.28 Typical High $208.93 | Professional | None (both parts) | $22.39 | $81.28 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $12.59 | $45.71 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $34.67 Typical High $128.82 | Professional | TC · Technical part | $10.47 | $34.67 | $128.82 |
Network Health Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $42.66 | Facility | None | $27.54 | $27.54 | $42.66 |
Network Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.88 Typical High $70.79 | Professional | None (both parts) | $25.70 | $33.88 | $70.79 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $16.98 | $38.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.98 Typical High $32.36 | Professional | TC · Technical part | $13.18 | $16.98 | $32.36 |
Prevea360 Setting Facility Modifier None Typical Low $15.85 Median $20.89 Typical High $38.02 | Facility | None | $15.85 | $20.89 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $91.20 | Professional | None | $21.38 | $44.67 | $91.20 |
Quartz Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $61.66 | Professional | None (both parts) | $26.92 | $26.92 | $61.66 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $14.45 | $35.48 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $30.90 | Professional | TC · Technical part | $12.59 | $12.59 | $30.90 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Security Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $44.67 | $114.82 | $123.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $36.31 | $61.66 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $58.88 | Professional | TC · Technical part | $16.98 | $21.88 | $58.88 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $75.86 | Professional | None (both parts) | $31.62 | $31.62 | $75.86 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $17.78 | $45.71 | $66.07 |
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 $20.42 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $20.42 | $43.65 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $22.91 Typical High $45.71 | Professional | 26 · Professional part | $10.72 | $22.91 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $19.95 Typical High $48.98 | Professional | TC · Technical part | $8.91 | $19.95 | $48.98 |
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 $14.13 Median $14.13 Typical High $102.33 | Professional | 52 · Reduced service | $14.13 | $14.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $41.69 | Professional | 53 · Discontinued | $5.62 | $5.62 | $41.69 |
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 $5.62 Median $7.24 Typical High $8.51 | Professional | 80 · Assistant surgeon | $5.62 | $7.24 | $8.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $7.24 Typical High $8.51 | Professional | 81 · Minimal assistant surgeon | $5.62 | $7.24 | $8.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $7.24 Typical High $8.51 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $7.24 | $8.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $6.46 Typical High $7.41 | Professional | AS · PA/NP assist | $4.90 | $6.46 | $7.41 |
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
$48.98
AK $56.23FL $15.49
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.