How much rates vary
Facilitymedian $955 · 10th to 90th $363 to $2,884Professionalmedian $1,047 · 10th to 90th $427 to $5,012
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 $794.33 Typical High $794.33 | Facility | None | $199.53 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $7,079.46 | Professional | None (both parts) | $478.63 | $794.33 | $7,079.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $2,041.74 | Professional | 26 · Professional part | $131.83 | $194.98 | $2,041.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $338.84 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,445.44 Typical High $3,801.89 | Professional | None (both parts) | $346.74 | $1,445.44 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $331.13 Typical High $831.76 | Professional | 26 · Professional part | $83.18 | $331.13 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,096.48 Typical High $3,162.28 | Professional | TC · Technical part | $263.03 | $1,096.48 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,621.81 | Facility | None | $954.99 | $1,096.48 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $1,995.26 | Professional | None (both parts) | $501.19 | $602.56 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $416.87 | Professional | 26 · Professional part | $102.33 | $138.04 | $416.87 |
Cigna 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 |
DeanCare Setting Facility Modifier None Typical Low $416.87 Median $2,089.30 Typical High $2,884.03 | Facility | None | $416.87 | $2,089.30 | $2,884.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,951.21 | Facility | TC · Technical part | $1,862.09 | $2,290.87 | $2,951.21 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $645.65 Median $891.25 Typical High $977.24 | Professional | None (both parts) | $645.65 | $891.25 | $977.24 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $213.80 | $234.42 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $660.69 Typical High $741.31 | Professional | TC · Technical part | $489.78 | $660.69 | $741.31 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $831.76 Typical High $4,570.88 | Facility | None | $389.05 | $831.76 | $4,570.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,737.80 Typical High $5,370.32 | Professional | None (both parts) | $616.60 | $1,737.80 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $389.05 Typical High $812.83 | Professional | 26 · Professional part | $107.15 | $389.05 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,621.81 Typical High $4,897.79 | Professional | TC · Technical part | $426.58 | $1,621.81 | $4,897.79 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,412.54 | Facility | None | $562.34 | $562.34 | $1,412.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,258.93 Typical High $1,445.44 | Professional | None (both parts) | $537.03 | $1,258.93 | $1,445.44 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $141.25 | $338.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,122.02 Typical High $1,122.02 | Professional | TC · Technical part | $407.38 | $1,122.02 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,174.90 | Facility | None | $363.08 | $794.33 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $794.33 Typical High $2,187.76 | Professional | None | $380.19 | $794.33 | $2,187.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,348.96 | Professional | None (both parts) | $501.19 | $501.19 | $1,348.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $302.00 | Professional | 26 · Professional part | $123.03 | $123.03 | $302.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $1,047.13 | Professional | TC · Technical part | $380.19 | $380.19 | $1,047.13 |
Security Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $3,981.07 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $3,981.07 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $489.78 Typical High $588.84 | Professional | 26 · Professional part | $426.58 | $489.78 | $588.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $3,019.95 Typical High $3,467.37 | Professional | TC · Technical part | $1,513.56 | $3,019.95 | $3,467.37 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $602.56 Median $891.25 Typical High $2,754.23 | Professional | None (both parts) | $602.56 | $891.25 | $2,754.23 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $436.52 Typical High $630.96 | Professional | 26 · Professional part | $151.36 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $977.24 Typical High $2,187.76 | Professional | None (both parts) | $416.87 | $977.24 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $194.98 Typical High $512.86 | Professional | 26 · Professional part | $93.33 | $194.98 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $776.25 Typical High $1,905.46 | Professional | TC · Technical part | $316.23 | $776.25 | $1,905.46 |
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 $398.11 Median $398.11 Typical High $3,548.13 | Professional | 52 · Reduced service | $398.11 | $398.11 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $1,412.54 | Professional | 53 · Discontinued | $158.49 | $158.49 | $1,412.54 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 80 · Assistant surgeon | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 81 · Minimal assistant surgeon | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 82 · Assistant surgeon, no resident | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $263.03 Median $323.59 Typical High $407.38 | Facility | AS · PA/NP assist | $263.03 | $323.59 | $407.38 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $141.25 Typical High $158.49 | Professional | 80 · Assistant surgeon | $102.33 | $141.25 | $158.49 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $141.25 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $102.33 | $141.25 | $158.49 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $141.25 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $141.25 | $158.49 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | AS · PA/NP assist | $91.20 | $123.03 | $138.04 |
Where Wisconsin sits
The same service costs 5.6 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
$1,047
WY $1,380UT $245
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.