How much rates vary
Facilitymedian $1,023 · 10th to 90th $363 to $3,981Professionalmedian $1,023 · 10th to 90th $398 to $3,890
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 $741.31 Typical High $741.31 | Facility | None | $199.53 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $741.31 Typical High $5,888.44 | Professional | None (both parts) | $478.63 | $741.31 | $5,888.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $245.47 Typical High $1,513.56 | Professional | 26 · Professional part | $144.54 | $245.47 | $1,513.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $489.78 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,288.25 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $1,288.25 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $426.58 Typical High $1,047.13 | Professional | 26 · Professional part | $104.71 | $426.58 | $1,047.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $870.96 Typical High $2,089.30 | Professional | TC · Technical part | $213.80 | $870.96 | $2,089.30 |
CareSource Setting Professional Modifier None (both parts) Typical Low $138.04 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $138.04 | $257.04 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,479.11 | Facility | None | $891.25 | $1,000.00 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $602.56 Typical High $1,862.09 | Professional | None (both parts) | $467.74 | $602.56 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $549.54 | Professional | 26 · Professional part | $134.90 | $173.78 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $380.19 Typical High $1,230.27 | Professional | TC · Technical part | $309.03 | $380.19 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $389.05 Median $2,089.30 Typical High $2,951.21 | Facility | None | $389.05 | $2,089.30 | $2,951.21 |
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 $602.56 Median $812.83 Typical High $912.01 | Professional | None (both parts) | $602.56 | $812.83 | $912.01 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $269.15 Typical High $302.00 | Professional | 26 · Professional part | $199.53 | $269.15 | $302.00 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $537.03 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $537.03 | $602.56 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $3,019.95 Typical High $5,754.40 | Facility | None | $630.96 | $3,019.95 | $5,754.40 |
Medica Setting Facility Modifier TC · Technical part Typical Low $2,041.74 Median $3,548.13 Typical High $5,128.61 | Facility | TC · Technical part | $2,041.74 | $3,548.13 | $5,128.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,737.80 Typical High $6,165.95 | Professional | None (both parts) | $575.44 | $1,737.80 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $549.54 Typical High $1,122.02 | Professional | 26 · Professional part | $141.25 | $549.54 | $1,122.02 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,412.54 Typical High $5,495.41 | Professional | TC · Technical part | $389.05 | $1,412.54 | $5,495.41 |
Network Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,148.15 | Facility | None | $524.81 | $524.81 | $1,148.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $489.78 | $1,318.26 | $1,318.26 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $234.42 Typical High $436.52 | Professional | 26 · Professional part | $154.88 | $234.42 | $436.52 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $891.25 Typical High $1,096.48 | Professional | TC · Technical part | $338.84 | $891.25 | $1,096.48 |
Prevea360 Setting Facility Modifier None Typical Low $338.84 Median $691.83 Typical High $1,174.90 | Facility | None | $338.84 | $691.83 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $1,698.24 | Professional | None | $354.81 | $724.44 | $1,698.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $1,737.80 | Professional | None (both parts) | $467.74 | $467.74 | $1,737.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $380.19 | Professional | 26 · Professional part | $154.88 | $154.88 | $380.19 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $851.14 | Professional | TC · Technical part | $309.03 | $309.03 | $851.14 |
Security Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $4,570.88 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $4,570.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $691.83 Typical High $1,412.54 | Professional | 26 · Professional part | $457.09 | $691.83 | $1,412.54 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $2,511.89 Typical High $3,090.30 | Professional | TC · Technical part | $1,479.11 | $2,511.89 | $3,090.30 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $562.34 Median $977.24 Typical High $2,511.89 | Professional | None (both parts) | $562.34 | $977.24 | $2,511.89 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $549.54 Typical High $691.83 | Professional | 26 · Professional part | $194.98 | $549.54 | $691.83 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $630.96 Typical High $1,905.46 | Professional | TC · Technical part | $371.54 | $630.96 | $1,905.46 |
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 $389.05 Median $1,047.13 Typical High $2,187.76 | Professional | None (both parts) | $389.05 | $1,047.13 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $295.12 Typical High $549.54 | Professional | 26 · Professional part | $125.89 | $295.12 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $707.95 Typical High $2,238.72 | Professional | TC · Technical part | $263.03 | $707.95 | $2,238.72 |
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 $371.54 Median $371.54 Typical High $2,951.21 | Professional | 52 · Reduced service | $371.54 | $371.54 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $1,174.90 | Professional | 53 · Discontinued | $147.91 | $147.91 | $1,174.90 |
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 $95.50 Median $128.82 Typical High $144.54 | Professional | 80 · Assistant surgeon | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $114.82 Typical High $125.89 | Professional | AS · PA/NP assist | $83.18 | $114.82 | $125.89 |
Where Wisconsin sits
The same service costs 6.6 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· 5th of 51
$1,023
VT $1,349UT $204
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.