How much rates vary
Facilitymedian $380 · 10th to 90th $200 to $1,413Professionalmedian $537 · 10th to 90th $229 to $1,905
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 $346.74 Typical High $346.74 | Facility | None | $199.53 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $346.74 Typical High $3,019.95 | Professional | None (both parts) | $338.84 | $346.74 | $3,019.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $1,202.26 | Professional | 26 · Professional part | $70.79 | $109.65 | $1,202.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $234.42 | $234.42 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $741.31 Typical High $1,819.70 | Professional | None (both parts) | $186.21 | $741.31 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $234.42 Typical High $575.44 | Professional | 26 · Professional part | $58.88 | $234.42 | $575.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $524.81 Typical High $1,230.27 | Professional | TC · Technical part | $125.89 | $524.81 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $870.96 | Facility | None | $512.86 | $575.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $1,071.52 | Professional | None (both parts) | $269.15 | $323.59 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $97.72 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $181.97 | $218.78 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $1,174.90 Typical High $1,621.81 | Facility | None | $223.87 | $1,174.90 | $1,621.81 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Facility | TC · Technical part | $1,071.52 | $1,318.26 | $1,659.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $346.74 | $467.74 | $524.81 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $151.36 | $165.96 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $354.81 | Professional | TC · Technical part | $234.42 | $316.23 | $354.81 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $2,511.89 | Facility | None | $208.93 | $371.54 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $870.96 Typical High $2,089.30 | Professional | None (both parts) | $275.42 | $870.96 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $275.42 Typical High $457.09 | Professional | 26 · Professional part | $75.86 | $275.42 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $676.08 Typical High $1,698.24 | Professional | TC · Technical part | $186.21 | $676.08 | $1,698.24 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $676.08 | Facility | None | $302.00 | $302.00 | $676.08 |
Network Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $281.84 | $575.44 | $758.58 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $239.88 | Professional | 26 · Professional part | $91.20 | $109.65 | $239.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $467.74 | $562.34 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $380.19 | Facility | None | $186.21 | $363.08 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $912.01 | Professional | None | $204.17 | $426.58 | $912.01 |
Quartz Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $269.15 | $269.15 | $660.69 |
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 $181.97 Median $181.97 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $181.97 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,174.90 Typical High $1,905.46 | Professional | None (both parts) | $602.56 | $1,174.90 | $1,905.46 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $389.05 | Professional | 26 · Professional part | $208.93 | $251.19 | $389.05 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $457.09 Typical High $1,513.56 | Professional | TC · Technical part | $380.19 | $457.09 | $1,513.56 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $323.59 | $478.63 | $1,445.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $309.03 Typical High $416.87 | Professional | 26 · Professional part | $107.15 | $309.03 | $416.87 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $1,148.15 | Professional | None (both parts) | $229.09 | $489.78 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $147.91 Typical High $338.84 | Professional | 26 · Professional part | $69.18 | $147.91 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $154.88 | $346.74 | $776.25 |
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 $173.78 Median $173.78 Typical High $1,513.56 | Professional | 52 · Reduced service | $173.78 | $173.78 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $602.56 | Professional | 53 · Discontinued | $69.18 | $69.18 | $602.56 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 80 · Assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 81 · Minimal assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 82 · Assistant surgeon, no resident | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $147.91 Median $186.21 Typical High $234.42 | Facility | AS · PA/NP assist | $147.91 | $186.21 | $234.42 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $75.86 Typical High $83.18 | Professional | 80 · Assistant surgeon | $54.95 | $75.86 | $83.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $75.86 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $54.95 | $75.86 | $83.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $75.86 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $75.86 | $83.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $66.07 Typical High $72.44 | Professional | AS · PA/NP assist | $47.86 | $66.07 | $72.44 |
Where Wisconsin sits
The same service costs 5.1 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
$537
AK $676UT $132
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.