How much rates vary
Facilitymedian $603 · 10th to 90th $240 to $1,585Professionalmedian $692 · 10th to 90th $295 to $2,818
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 $524.81 Typical High $524.81 | Facility | None | $199.53 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $4,466.84 | Professional | None (both parts) | $416.87 | $524.81 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $1,548.82 | Professional | 26 · Professional part | $107.15 | $144.54 | $1,548.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $316.23 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $954.99 Typical High $2,238.72 | Professional | None (both parts) | $229.09 | $954.99 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $251.19 Typical High $616.60 | Professional | 26 · Professional part | $61.66 | $251.19 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $691.83 Typical High $1,819.70 | Professional | TC · Technical part | $165.96 | $691.83 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,071.52 | Facility | None | $630.96 | $707.95 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $1,318.26 | Professional | None (both parts) | $331.13 | $398.11 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $309.03 | Professional | 26 · Professional part | $75.86 | $102.33 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $954.99 | Professional | TC · Technical part | $239.88 | $295.12 | $954.99 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $1,230.27 Typical High $1,737.80 | Facility | None | $257.04 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $426.58 | $575.44 | $645.65 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $158.49 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $158.49 | $177.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $309.03 | $416.87 | $467.74 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $549.54 Typical High $2,570.40 | Facility | None | $257.04 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,096.48 Typical High $2,818.38 | Professional | None (both parts) | $436.52 | $1,096.48 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $275.42 Typical High $630.96 | Professional | 26 · Professional part | $79.43 | $275.42 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $912.01 Typical High $2,454.71 | Professional | TC · Technical part | $309.03 | $912.01 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $831.76 | Facility | None | $380.19 | $380.19 | $831.76 |
Network Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $354.81 | $933.25 | $933.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $131.83 | $257.04 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $691.83 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $691.83 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $630.96 | Facility | None | $239.88 | $446.68 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $512.86 Typical High $1,202.26 | Professional | None | $251.19 | $512.86 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $891.25 | Professional | None (both parts) | $331.13 | $331.13 | $891.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $91.20 | $223.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $239.88 | $239.88 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,778.28 Typical High $2,344.23 | Professional | None (both parts) | $1,445.44 | $1,778.28 | $2,344.23 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $371.54 | $436.52 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,380.38 Typical High $1,949.84 | Professional | TC · Technical part | $954.99 | $1,380.38 | $1,949.84 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $1,862.09 | Professional | None (both parts) | $398.11 | $630.96 | $1,862.09 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $323.59 Typical High $398.11 | Professional | 26 · Professional part | $114.82 | $323.59 | $398.11 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $676.08 Typical High $1,288.25 | Professional | None (both parts) | $281.84 | $676.08 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $72.44 | $169.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $204.17 | $501.19 | $1,122.02 |
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 $263.03 Median $263.03 Typical High $2,187.76 | Professional | 52 · Reduced service | $263.03 | $263.03 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $891.25 | Professional | 53 · Discontinued | $104.71 | $104.71 | $891.25 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $91.20 Typical High $102.33 | Professional | 80 · Assistant surgeon | $67.61 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $91.20 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $67.61 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $91.20 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $81.28 Typical High $89.13 | Professional | AS · PA/NP assist | $58.88 | $81.28 | $89.13 |
Where Wisconsin sits
The same service costs 5.8 times more in Wyoming 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· 3rd of 51
$676
WY $912UT $158
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.