How much rates vary
Facilitymedian $389 · 10th to 90th $195 to $1,660Professionalmedian $302 · 10th to 90th $120 to $1,047
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 $117.49 Median $199.53 Typical High $199.53 | Facility | None | $117.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $1,819.70 | Professional | None (both parts) | $128.82 | $199.53 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $524.81 | Professional | 26 · Professional part | $42.66 | $74.13 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $107.15 | $426.58 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $158.49 Typical High $389.05 | Professional | 26 · Professional part | $38.90 | $158.49 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $269.15 Typical High $660.69 | Professional | TC · Technical part | $67.61 | $269.15 | $660.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $51.29 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $501.19 | Facility | None | $295.12 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $154.88 | $181.97 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $194.98 | Professional | 26 · Professional part | $48.98 | $64.57 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $97.72 | $117.49 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $537.03 Typical High $758.58 | Facility | None | $128.82 | $537.03 | $758.58 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $758.58 | Facility | TC · Technical part | $478.63 | $588.84 | $758.58 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $199.53 | $275.42 | $302.00 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $102.33 | $112.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $169.82 | $190.55 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $1,380.38 Typical High $1,995.26 | Facility | None | $213.80 | $1,380.38 | $1,995.26 |
Medica Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $1,412.54 Typical High $2,041.74 | Facility | TC · Technical part | $794.33 | $1,412.54 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $489.78 Typical High $1,258.93 | Professional | None (both parts) | $165.96 | $489.78 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $50.12 | $208.93 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $346.74 Typical High $1,096.48 | Professional | TC · Technical part | $97.72 | $346.74 | $1,096.48 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $338.84 | Facility | None | $169.82 | $169.82 | $338.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $158.49 | $295.12 | $436.52 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $66.07 | $162.18 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $229.09 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $234.42 | Facility | None | $107.15 | $213.80 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $245.47 Typical High $512.86 | Professional | None | $117.49 | $245.47 | $512.86 |
Quartz Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $154.88 | $154.88 | $416.87 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $57.54 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $263.03 | Professional | TC · Technical part | $97.72 | $97.72 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $676.08 Typical High $954.99 | Professional | None (both parts) | $380.19 | $676.08 | $954.99 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $165.96 Typical High $234.42 | Professional | 26 · Professional part | $141.25 | $165.96 | $234.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $489.78 | $707.95 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $194.98 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $194.98 | $436.52 | $1,023.29 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $208.93 Typical High $309.03 | Professional | 26 · Professional part | $72.44 | $208.93 | $309.03 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $245.47 Typical High $724.44 | Professional | TC · Technical part | $117.49 | $245.47 | $724.44 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $128.82 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $97.72 Typical High $208.93 | Professional | 26 · Professional part | $45.71 | $97.72 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $181.97 Typical High $457.09 | Professional | TC · Technical part | $79.43 | $181.97 | $457.09 |
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 $100.00 Median $100.00 Typical High $954.99 | Professional | 52 · Reduced service | $100.00 | $100.00 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $380.19 | Professional | 53 · Discontinued | $39.81 | $39.81 | $380.19 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 80 · Assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 81 · Minimal assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 82 · Assistant surgeon, no resident | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | AS · PA/NP assist | $67.61 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $43.65 Typical High $48.98 | Professional | 80 · Assistant surgeon | $31.62 | $43.65 | $48.98 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $43.65 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $31.62 | $43.65 | $48.98 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $43.65 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $43.65 | $48.98 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $38.02 Typical High $42.66 | Professional | AS · PA/NP assist | $28.18 | $38.02 | $42.66 |
Where Wisconsin sits
The same service costs 20.4 times more in Vermont 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· 5th of 51
$302
VT $1,585UT $77.62
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.