How much rates vary
Facilitymedian $331 · 10th to 90th $191 to $1,000Professionalmedian $468 · 10th to 90th $219 to $1,660
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 $199.53 Median $295.12 Typical High $346.74 | Facility | None | $199.53 | $295.12 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $2,290.87 | Professional | None (both parts) | $218.78 | $295.12 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $794.33 | Professional | 26 · Professional part | $64.57 | $112.20 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $186.21 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $660.69 Typical High $1,548.82 | Professional | None (both parts) | $162.18 | $660.69 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $239.88 Typical High $588.84 | Professional | 26 · Professional part | $58.88 | $239.88 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $416.87 Typical High $1,047.13 | Professional | TC · Technical part | $107.15 | $416.87 | $1,047.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $77.62 | $120.23 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $741.31 | Facility | None | $436.52 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $912.01 | Professional | None (both parts) | $234.42 | $269.15 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $295.12 | Professional | 26 · Professional part | $74.13 | $95.50 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $575.44 | Professional | TC · Technical part | $144.54 | $173.78 | $575.44 |
DeanCare Setting Facility Modifier None Typical Low $181.97 Median $537.03 Typical High $758.58 | Facility | None | $181.97 | $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 $295.12 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $295.12 | $407.38 | $457.09 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $151.36 | $169.82 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $251.19 | $281.84 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $2,511.89 | Facility | None | $181.97 | $316.23 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $812.83 Typical High $1,659.59 | Professional | None (both parts) | $275.42 | $812.83 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $275.42 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $275.42 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $575.44 Typical High $1,318.26 | Professional | TC · Technical part | $194.98 | $575.44 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $562.34 | Facility | None | $251.19 | $251.19 | $562.34 |
Network Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $239.88 | $478.63 | $724.44 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $100.00 | $245.47 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $380.19 Typical High $562.34 | Professional | TC · Technical part | $154.88 | $380.19 | $562.34 |
Prevea360 Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $331.13 | Facility | None | $151.36 | $263.03 | $331.13 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $707.95 | Professional | None | $173.78 | $363.08 | $707.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $234.42 | $234.42 | $616.60 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $87.10 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $144.54 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,023.29 Typical High $1,584.89 | Professional | None (both parts) | $724.44 | $1,023.29 | $1,584.89 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $239.88 Typical High $354.81 | Professional | 26 · Professional part | $213.80 | $239.88 | $354.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $537.03 Typical High $1,230.27 | Professional | TC · Technical part | $489.78 | $537.03 | $1,230.27 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $281.84 Median $398.11 Typical High $1,071.52 | Professional | None (both parts) | $281.84 | $398.11 | $1,071.52 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $309.03 Typical High $398.11 | Professional | 26 · Professional part | $109.65 | $309.03 | $398.11 |
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 $194.98 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $194.98 | $467.74 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $147.91 Typical High $316.23 | Professional | 26 · Professional part | $69.18 | $147.91 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $331.13 Typical High $645.65 | Professional | TC · Technical part | $131.83 | $331.13 | $645.65 |
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 $147.91 Median $147.91 Typical High $1,148.15 | Professional | 52 · Reduced service | $147.91 | $147.91 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $467.74 | Professional | 53 · Discontinued | $60.26 | $60.26 | $467.74 |
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 $47.86 Median $64.57 Typical High $72.44 | Professional | 80 · Assistant surgeon | $47.86 | $64.57 | $72.44 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $47.86 Median $64.57 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $47.86 | $64.57 | $72.44 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $64.57 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $64.57 | $72.44 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $56.23 Typical High $63.10 | Professional | AS · PA/NP assist | $41.69 | $56.23 | $63.10 |
Where Wisconsin sits
The same service costs 6.2 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· 2nd of 51
$468
AK $646UT $105
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.