How much rates vary
Facilitymedian $759 · 10th to 90th $251 to $2,884Professionalmedian $759 · 10th to 90th $324 to $2,754
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 $489.78 Typical High $489.78 | Facility | None | $199.53 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $4,168.69 | Professional | None (both parts) | $389.05 | $489.78 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $1,047.13 | Professional | 26 · Professional part | $89.13 | $154.88 | $1,047.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $229.09 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,148.15 Typical High $2,691.53 | Professional | None (both parts) | $275.42 | $1,148.15 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $323.59 Typical High $794.33 | Professional | 26 · Professional part | $81.28 | $323.59 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $794.33 Typical High $1,905.46 | Professional | TC · Technical part | $194.98 | $794.33 | $1,905.46 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $104.71 | $239.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,288.25 | Facility | None | $758.58 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $1,584.89 | Professional | None (both parts) | $407.38 | $467.74 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $407.38 | Professional | 26 · Professional part | $100.00 | $131.83 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $1,148.15 | Professional | TC · Technical part | $281.84 | $331.13 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $1,698.24 | Facility | None | $295.12 | $1,230.27 | $1,698.24 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,096.48 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $512.86 Median $707.95 Typical High $794.33 | Professional | None (both parts) | $512.86 | $707.95 | $794.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $208.93 | $229.09 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $501.19 Typical High $562.34 | Professional | TC · Technical part | $363.08 | $501.19 | $562.34 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $2,041.74 Typical High $3,548.13 | Facility | None | $316.23 | $2,041.74 | $3,548.13 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,698.24 Median $2,089.30 Typical High $3,548.13 | Facility | TC · Technical part | $1,698.24 | $2,089.30 | $3,548.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,258.93 Typical High $3,235.94 | Professional | None (both parts) | $398.11 | $1,258.93 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $380.19 Typical High $562.34 | Professional | 26 · Professional part | $102.33 | $380.19 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,000.00 Typical High $2,754.23 | Professional | TC · Technical part | $281.84 | $1,000.00 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,023.29 | Facility | None | $436.52 | $436.52 | $1,023.29 |
Network Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $407.38 | $891.25 | $1,148.15 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $138.04 | $331.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $758.58 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $537.03 | Facility | None | $245.47 | $501.19 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,230.27 | Professional | None | $302.00 | $630.96 | $1,230.27 |
Quartz Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $407.38 | $407.38 | $977.24 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $120.23 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $120.23 | $288.40 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $776.25 | Professional | TC · Technical part | $281.84 | $281.84 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,621.81 Typical High $2,884.03 | Professional | None (both parts) | $954.99 | $1,621.81 | $2,884.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $478.63 | Professional | 26 · Professional part | $275.42 | $302.00 | $478.63 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $776.25 Typical High $2,398.83 | Professional | TC · Technical part | $660.69 | $776.25 | $2,398.83 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $2,089.30 | Professional | None (both parts) | $407.38 | $707.95 | $2,089.30 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $147.91 | $331.13 | $512.86 |
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 $331.13 Median $707.95 Typical High $1,479.11 | Professional | None (both parts) | $331.13 | $707.95 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $93.33 | $199.53 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $537.03 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $537.03 | $1,258.93 |
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 $245.47 Median $245.47 Typical High $2,089.30 | Professional | 52 · Reduced service | $245.47 | $245.47 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $831.76 | Professional | 53 · Discontinued | $97.72 | $97.72 | $831.76 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 80 · Assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 81 · Minimal assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $190.55 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 80 · Assistant surgeon | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $97.72 Typical High $109.65 | Professional | AS · PA/NP assist | $72.44 | $97.72 | $109.65 |
Where Wisconsin sits
The same service costs 7.6 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· 4th of 51
$759
VT $1,288UT $170
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.