How much rates vary
Facilitymedian $115 · 10th to 90th $42 to $275Professionalmedian $93 · 10th to 90th $39 to $245
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 $56.23 Median $56.23 Typical High $199.53 | Facility | None | $56.23 | $56.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $213.80 | Professional | None (both parts) | $56.23 | $56.23 | $213.80 |
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 $41.69 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $41.69 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $36.31 | $144.54 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $7.76 | $31.62 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $28.18 | $114.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $169.82 | Facility | None | $100.00 | $114.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $40.74 | $58.88 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $39.81 | Professional | 26 · Professional part | $10.47 | $13.18 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $120.23 | Professional | TC · Technical part | $32.36 | $45.71 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $251.19 Typical High $338.84 | Facility | None | $41.69 | $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 $67.61 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $67.61 | $87.10 | $104.71 |
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 $53.70 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $53.70 | $67.61 | $83.18 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $44.67 Typical High $223.87 | Facility | None | $32.36 | $44.67 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $41.69 | $134.90 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $89.13 | Professional | 26 · Professional part | $10.00 | $36.31 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $31.62 | $104.71 | $190.55 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $81.28 | Facility | None | $54.95 | $54.95 | $81.28 |
Network Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $151.36 | Professional | None (both parts) | $52.48 | $66.07 | $151.36 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $14.79 | $32.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $40.74 | $51.29 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $72.44 | Facility | None | $32.36 | $41.69 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $40.74 Median $83.18 Typical High $165.96 | Professional | None | $40.74 | $83.18 | $165.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $117.49 | Professional | None (both parts) | $53.70 | $53.70 | $117.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $41.69 | $89.13 |
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 $229.09 Typical High $251.19 | Professional | None (both parts) | $77.62 | $229.09 | $251.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $52.48 | Professional | 26 · Professional part | $16.98 | $21.38 | $52.48 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $63.10 | $173.78 |
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 $36.31 Median $75.86 Typical High $151.36 | Professional | None (both parts) | $36.31 | $75.86 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $18.20 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $27.54 | $57.54 | $114.82 |
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 $28.18 Median $28.18 Typical High $107.15 | Professional | 52 · Reduced service | $28.18 | $28.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $42.66 | Professional | 53 · Discontinued | $11.22 | $11.22 | $42.66 |
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 $10.96 Median $13.80 Typical High $16.60 | Professional | 80 · Assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | AS · PA/NP assist | $9.55 | $12.02 | $14.45 |
Where Wisconsin sits
The same service costs 3.7 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
$95.50
AK $110FL $29.51
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.