How much rates vary
Facilitymedian $407 · 10th to 90th $158 to $1,778Professionalmedian $363 · 10th to 90th $148 to $1,318
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 $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $1,621.81 | Professional | None (both parts) | $177.83 | $239.88 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $549.54 | Professional | 26 · Professional part | $54.95 | $75.86 | $549.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $128.82 | $512.86 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $158.49 Typical High $398.11 | Professional | 26 · Professional part | $39.81 | $158.49 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $363.08 Typical High $870.96 | Professional | TC · Technical part | $89.13 | $363.08 | $870.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $51.29 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $741.31 | Professional | None (both parts) | $186.21 | $218.78 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $223.87 | Professional | 26 · Professional part | $58.88 | $66.07 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $512.86 | Professional | TC · Technical part | $128.82 | $154.88 | $512.86 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $537.03 Typical High $758.58 | Facility | None | $154.88 | $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 $239.88 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $239.88 | $323.59 | $363.08 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $102.33 | $114.82 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $251.19 | Professional | TC · Technical part | $165.96 | $223.87 | $251.19 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $1,548.82 Typical High $2,344.23 | Facility | None | $158.49 | $1,548.82 | $2,344.23 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $1,548.82 Typical High $1,862.09 | Facility | TC · Technical part | $1,288.25 | $1,548.82 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $588.84 Typical High $1,412.54 | Professional | None (both parts) | $199.53 | $588.84 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $56.23 | $208.93 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $457.09 Typical High $1,230.27 | Professional | TC · Technical part | $128.82 | $457.09 | $1,230.27 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $467.74 | Facility | None | $204.17 | $204.17 | $467.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $190.55 | $398.11 | $524.81 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $89.13 | $162.18 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $309.03 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $251.19 Typical High $263.03 | Facility | None | $128.82 | $251.19 | $263.03 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $616.60 | Professional | None | $141.25 | $295.12 | $616.60 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $186.21 | $186.21 | $457.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $58.88 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $128.82 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,047.13 Typical High $1,548.82 | Professional | None (both parts) | $446.68 | $1,047.13 | $1,548.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $309.03 Typical High $436.52 | Professional | 26 · Professional part | $141.25 | $309.03 | $436.52 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $977.24 Typical High $1,096.48 | Professional | TC · Technical part | $309.03 | $977.24 | $1,096.48 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $977.24 | Professional | None (both parts) | $229.09 | $331.13 | $977.24 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $208.93 Typical High $338.84 | Professional | 26 · Professional part | $74.13 | $208.93 | $338.84 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $691.83 | Professional | TC · Technical part | $154.88 | $316.23 | $691.83 |
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 $154.88 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $154.88 | $331.13 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $47.86 | $102.33 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $104.71 | $239.88 | $537.03 |
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 $120.23 Median $120.23 Typical High $812.83 | Professional | 52 · Reduced service | $120.23 | $120.23 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $331.13 | Professional | 53 · Discontinued | $47.86 | $47.86 | $331.13 |
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 $38.02 Median $52.48 Typical High $58.88 | Professional | 80 · Assistant surgeon | $38.02 | $52.48 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $52.48 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $38.02 | $52.48 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $52.48 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $52.48 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $45.71 Typical High $51.29 | Professional | AS · PA/NP assist | $33.88 | $45.71 | $51.29 |
Where Wisconsin sits
The same service costs 4.9 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· 5th of 51
$363
AK $513UT $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.