How much rates vary
Facilitymedian $457 · 10th to 90th $224 to $1,413Professionalmedian $617 · 10th to 90th $269 to $2,042
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 $416.87 Typical High $416.87 | Facility | None | $199.53 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $416.87 Typical High $3,162.28 | Professional | None (both parts) | $407.38 | $416.87 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $141.25 Typical High $1,348.96 | Professional | 26 · Professional part | $83.18 | $141.25 | $1,348.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $263.03 | $275.42 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $891.25 Typical High $2,187.76 | Professional | None (both parts) | $223.87 | $891.25 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $302.00 Typical High $691.83 | Professional | 26 · Professional part | $74.13 | $302.00 | $691.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $616.60 Typical High $1,445.44 | Professional | TC · Technical part | $147.91 | $616.60 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $1,047.13 | Facility | None | $616.60 | $691.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $1,288.25 | Professional | None (both parts) | $323.59 | $371.54 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $338.84 | Professional | 26 · Professional part | $85.11 | $120.23 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $851.14 | Professional | TC · Technical part | $213.80 | $257.04 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $269.15 Median $1,174.90 Typical High $1,621.81 | Facility | None | $269.15 | $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 $416.87 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $416.87 | $562.34 | $630.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $190.55 | $213.80 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $371.54 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $371.54 | $416.87 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $2,511.89 | Facility | None | $251.19 | $446.68 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $954.99 Typical High $2,041.74 | Professional | None (both parts) | $338.84 | $954.99 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $331.13 Typical High $489.78 | Professional | 26 · Professional part | $93.33 | $331.13 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $691.83 Typical High $1,995.26 | Professional | TC · Technical part | $245.47 | $691.83 | $1,995.26 |
Network Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $645.65 | Facility | None | $363.08 | $363.08 | $645.65 |
Network Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $562.34 Typical High $870.96 | Professional | None (both parts) | $338.84 | $562.34 | $870.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $112.20 Typical High $309.03 | Professional | 26 · Professional part | $109.65 | $112.20 | $309.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $229.09 | $446.68 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $457.09 | Facility | None | $223.87 | $363.08 | $457.09 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $1,096.48 | Professional | None | $245.47 | $501.19 | $1,096.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $794.33 | Professional | None (both parts) | $323.59 | $323.59 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $109.65 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $213.80 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Security Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $891.25 | $1,412.54 | $1,905.46 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $275.42 Typical High $398.11 | Professional | 26 · Professional part | $239.88 | $275.42 | $398.11 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $741.31 Typical High $1,445.44 | Professional | TC · Technical part | $660.69 | $741.31 | $1,445.44 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $331.13 Median $645.65 Typical High $1,862.09 | Professional | None (both parts) | $331.13 | $645.65 | $1,862.09 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $363.08 Typical High $426.58 | Professional | 26 · Professional part | $138.04 | $363.08 | $426.58 |
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 $269.15 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $269.15 | $575.44 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $186.21 Typical High $398.11 | Professional | 26 · Professional part | $83.18 | $186.21 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $177.83 | $398.11 | $794.33 |
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 $208.93 Median $208.93 Typical High $1,584.89 | Professional | 52 · Reduced service | $208.93 | $208.93 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $630.96 | Professional | 53 · Discontinued | $83.18 | $83.18 | $630.96 |
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 $66.07 Median $91.20 Typical High $100.00 | Professional | 80 · Assistant surgeon | $66.07 | $91.20 | $100.00 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $91.20 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $66.07 | $91.20 | $100.00 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $91.20 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $91.20 | $100.00 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $79.43 Typical High $87.10 | Professional | AS · PA/NP assist | $57.54 | $79.43 | $87.10 |
Where Wisconsin sits
The same service costs 6.3 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
$617
AK $851UT $135
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.