How much rates vary
Facilitymedian $1,318 · 10th to 90th $550 to $1,738Professionalmedian $1,905 · 10th to 90th $776 to $7,079
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 $1,412.54 Typical High $1,412.54 | Facility | None | $199.53 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $2,187.76 | Professional | 26 · Professional part | $346.74 | $346.74 | $2,187.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $1,288.25 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $4,073.80 Typical High $7,762.47 | Professional | None (both parts) | $1,348.96 | $4,073.80 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $575.44 Typical High $1,412.54 | Professional | 26 · Professional part | $144.54 | $575.44 | $1,412.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $3,630.78 Typical High $7,943.28 | Professional | TC · Technical part | $1,202.26 | $3,630.78 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,548.82 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,905.46 Typical High $3,019.95 | Professional | None (both parts) | $954.99 | $1,905.46 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $245.47 Typical High $676.08 | Professional | 26 · Professional part | $173.78 | $245.47 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,698.24 Typical High $2,630.27 | Professional | TC · Technical part | $831.76 | $1,698.24 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $588.84 Median $1,258.93 Typical High $1,737.80 | Facility | None | $588.84 | $1,258.93 | $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 $549.54 Median $2,630.27 Typical High $3,548.13 | Professional | None (both parts) | $549.54 | $2,630.27 | $3,548.13 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $380.19 Typical High $426.58 | Professional | 26 · Professional part | $275.42 | $380.19 | $426.58 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,258.93 Typical High $4,466.84 | Facility | None | $549.54 | $1,258.93 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $630.96 Median $2,344.23 Typical High $7,079.46 | Professional | None (both parts) | $630.96 | $2,344.23 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $616.60 Typical High $1,659.59 | Professional | 26 · Professional part | $190.55 | $616.60 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $1,548.82 Typical High $6,918.31 | Professional | TC · Technical part | $398.11 | $1,548.82 | $6,918.31 |
Network Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $4,897.79 | Professional | None (both parts) | $616.60 | $616.60 | $4,897.79 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $323.59 Typical High $588.84 | Professional | 26 · Professional part | $213.80 | $323.59 | $588.84 |
Prevea360 Setting Facility Modifier None Typical Low $549.54 Median $794.33 Typical High $1,258.93 | Facility | None | $549.54 | $794.33 | $1,258.93 |
Quartz Setting Professional Modifier None Typical Low $1,548.82 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,548.82 | $2,951.21 | $5,495.41 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,905.46 Typical High $3,019.95 | Professional | None (both parts) | $1,819.70 | $1,905.46 | $3,019.95 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $512.86 | Professional | 26 · Professional part | $218.78 | $218.78 | $512.86 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,698.24 Typical High $2,691.53 | Professional | TC · Technical part | $1,258.93 | $1,698.24 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,090.30 Typical High $3,981.07 | Professional | None (both parts) | $2,754.23 | $3,090.30 | $3,981.07 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $891.25 Typical High $954.99 | Professional | 26 · Professional part | $302.00 | $891.25 | $954.99 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $616.60 Typical High $1,047.13 | Professional | 26 · Professional part | $275.42 | $616.60 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,412.54 Typical High $2,951.21 | Professional | None (both parts) | $630.96 | $1,412.54 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $380.19 Typical High $741.31 | Professional | 26 · Professional part | $165.96 | $380.19 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,071.52 Typical High $2,187.76 | Professional | TC · Technical part | $407.38 | $1,071.52 | $2,187.76 |
6 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 $707.95 Median $707.95 Typical High $851.14 | Professional | 52 · Reduced service | $707.95 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $281.84 | $281.84 | $346.74 |
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 12.3 times more in Wyoming than in Hawaii. 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
$1,905
WY $3,467HI $282
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.