How much rates vary
Facilitymedian $1,549 · 10th to 90th $200 to $1,862Professionalmedian $1,585 · 10th to 90th $692 to $5,370
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 $1,548.82 Typical High $1,548.82 | Facility | None | $199.53 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $9,772.37 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $9,772.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $2,089.30 | Professional | 26 · Professional part | $269.15 | $269.15 | $2,089.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,174.90 | $1,258.93 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $2,630.27 Typical High $6,165.95 | Professional | None (both parts) | $660.69 | $2,630.27 | $6,165.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $467.74 Typical High $1,148.15 | Professional | 26 · Professional part | $114.82 | $467.74 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $3,715.35 Typical High $9,120.11 | Professional | 50 · Both sides | $977.24 | $3,715.35 | $9,120.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $2,187.76 Typical High $5,128.61 | Professional | TC · Technical part | $537.03 | $2,187.76 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,691.53 | Facility | None | $1,584.89 | $1,819.70 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $977.24 Typical High $2,290.87 | Professional | None (both parts) | $758.58 | $977.24 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $602.56 | Professional | 26 · Professional part | $131.83 | $186.21 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,819.70 | Professional | TC · Technical part | $645.65 | $794.33 | $1,819.70 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $1,737.80 | Facility | None | $691.83 | $1,348.96 | $1,737.80 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 50 · Both sides | $1,659.59 | $2,089.30 | $2,630.27 |
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 $407.38 Median $1,348.96 Typical High $1,819.70 | Professional | None (both parts) | $407.38 | $1,348.96 | $1,819.70 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $331.13 | Professional | 26 · Professional part | $218.78 | $295.12 | $331.13 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $3,162.28 | Facility | None | $616.60 | $1,148.15 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,862.09 Typical High $4,466.84 | Professional | None (both parts) | $691.83 | $1,862.09 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $478.63 Typical High $741.31 | Professional | 26 · Professional part | $147.91 | $478.63 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,659.59 Typical High $3,715.35 | Professional | TC · Technical part | $537.03 | $1,659.59 | $3,715.35 |
Network Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $2,570.40 | Professional | None (both parts) | $616.60 | $616.60 | $2,570.40 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $257.04 Typical High $478.63 | Professional | 26 · Professional part | $169.82 | $257.04 | $478.63 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,584.89 | Facility | None | $630.96 | $1,023.29 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,412.54 Typical High $2,630.27 | Professional | None | $741.31 | $1,412.54 | $2,630.27 |
Quartz Setting Professional Modifier None (both parts) Typical Low $851.14 Median $977.24 Typical High $2,137.96 | Professional | None (both parts) | $851.14 | $977.24 | $2,137.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $416.87 | Professional | 26 · Professional part | $169.82 | $169.82 | $416.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,698.24 | Professional | TC · Technical part | $794.33 | $794.33 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,073.80 Typical High $4,677.35 | Professional | None (both parts) | $3,235.94 | $4,073.80 | $4,677.35 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $707.95 Typical High $812.83 | Professional | 26 · Professional part | $602.56 | $707.95 | $812.83 |
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 $616.60 Median $1,412.54 Typical High $2,630.27 | Professional | None (both parts) | $616.60 | $1,412.54 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $316.23 Typical High $602.56 | Professional | 26 · Professional part | $128.82 | $316.23 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $1,096.48 Typical High $1,995.26 | Professional | TC · Technical part | $467.74 | $1,096.48 | $1,995.26 |
4 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 |
|---|---|---|---|---|---|
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 |
Where Wisconsin sits
The same service costs 7.4 times more in Alaska than in Washington. 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
$1,585
AK $2,754WA $372
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.