How much rates vary
Facilitymedian $302 · 10th to 90th $126 to $759Professionalmedian $269 · 10th to 90th $112 to $724
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 $169.82 Median $169.82 Typical High $199.53 | Facility | None | $169.82 | $169.82 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $1,047.13 | Professional | None (both parts) | $151.36 | $169.82 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $489.78 | Professional | 26 · Professional part | $54.95 | $63.10 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $104.71 | $407.38 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $162.18 Typical High $338.84 | Professional | 26 · Professional part | $39.81 | $162.18 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $213.80 Typical High $446.68 | Professional | TC · Technical part | $64.57 | $213.80 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $512.86 | Facility | None | $302.00 | $346.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $138.04 | $173.78 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $190.55 | Professional | 26 · Professional part | $47.86 | $67.61 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $281.84 | Professional | TC · Technical part | $91.20 | $109.65 | $281.84 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $691.83 Typical High $933.25 | Facility | None | $125.89 | $691.83 | $933.25 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $741.31 Typical High $933.25 | Facility | TC · Technical part | $588.84 | $741.31 | $933.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $204.17 | $257.04 | $316.23 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $104.71 | $117.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $162.18 | $194.98 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $131.83 Typical High $616.60 | Facility | None | $95.50 | $131.83 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $125.89 | $398.11 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $181.97 Typical High $281.84 | Professional | 26 · Professional part | $50.12 | $181.97 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $229.09 Typical High $467.74 | Professional | TC · Technical part | $70.79 | $229.09 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $186.21 | Facility | None | $162.18 | $162.18 | $186.21 |
Network Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $346.74 | Professional | None (both parts) | $151.36 | $151.36 | $346.74 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $66.07 | $165.96 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $95.50 Typical High $269.15 | Professional | TC · Technical part | $87.10 | $95.50 | $269.15 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $218.78 | Facility | None | $95.50 | $125.89 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $478.63 | Professional | None | $123.03 | $245.47 | $478.63 |
Quartz Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $162.18 | $162.18 | $346.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $60.26 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $100.00 | $208.93 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $234.42 | $691.83 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $104.71 | $147.91 | $234.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $181.97 | $295.12 |
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 $109.65 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $109.65 | $234.42 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $91.20 Typical High $181.97 | Professional | 26 · Professional part | $43.65 | $91.20 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $66.07 | $144.54 | $251.19 |
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 $85.11 Median $85.11 Typical High $537.03 | Professional | 52 · Reduced service | $85.11 | $85.11 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $213.80 | Professional | 53 · Discontinued | $33.88 | $33.88 | $213.80 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $95.50 Median $117.49 Typical High $147.91 | Facility | 80 · Assistant surgeon | $95.50 | $117.49 | $147.91 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $117.49 Typical High $147.91 | Facility | 81 · Minimal assistant surgeon | $95.50 | $117.49 | $147.91 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $117.49 Typical High $147.91 | Facility | 82 · Assistant surgeon, no resident | $95.50 | $117.49 | $147.91 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $83.18 Median $102.33 Typical High $128.82 | Facility | AS · PA/NP assist | $83.18 | $102.33 | $128.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 80 · Assistant surgeon | $33.11 | $41.69 | $50.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $33.11 | $41.69 | $50.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $41.69 | $50.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $36.31 Typical High $43.65 | Professional | AS · PA/NP assist | $28.84 | $36.31 | $43.65 |
Where Wisconsin sits
The same service costs 4.4 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
$269
AK $324UT $74.13
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.