How much rates vary
Facilitymedian $204 · 10th to 90th $50 to $324Professionalmedian $81 · 10th to 90th $33 to $214
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 $36.31 Median $50.12 Typical High $199.53 | Facility | None | $36.31 | $50.12 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $50.12 Typical High $169.82 | Professional | None (both parts) | $31.62 | $50.12 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $154.88 | Professional | 26 · Professional part | $10.96 | $15.85 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $34.67 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $32.36 | $131.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $10.23 | $40.74 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $22.39 | $83.18 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $13.18 | $28.18 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $102.33 Typical High $154.88 | Facility | None | $91.20 | $102.33 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $138.04 | Professional | None (both parts) | $37.15 | $51.29 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $44.67 | Professional | 26 · Professional part | $14.13 | $16.60 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $93.33 | Professional | TC · Technical part | $23.44 | $36.31 | $93.33 |
DeanCare Setting Facility Modifier None Typical Low $37.15 Median $269.15 Typical High $363.08 | Facility | None | $37.15 | $269.15 | $363.08 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | TC · Technical part | $234.42 | $288.40 | $363.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $61.66 | $77.62 | $93.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $26.30 | $29.51 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $53.70 | $64.57 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $346.74 | Facility | None | $151.36 | $223.87 | $346.74 |
Medica Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $389.05 | Facility | TC · Technical part | $151.36 | $275.42 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $38.02 | $138.04 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $13.49 | $47.86 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $23.99 | $83.18 | $147.91 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Network Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $25.12 | $85.11 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $66.07 | Facility | None | $29.51 | $37.15 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $147.91 | Professional | None | $36.31 | $74.13 | $147.91 |
Quartz Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $107.15 | Professional | None (both parts) | $47.86 | $47.86 | $107.15 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $36.31 | Professional | 26 · Professional part | $15.14 | $15.14 | $36.31 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $33.11 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Security Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $58.88 | $199.53 | $223.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $20.42 | $27.54 | $30.20 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $52.48 | Professional | TC · Technical part | $35.48 | $50.12 | $52.48 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $61.66 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $61.66 | $165.96 | $213.80 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $18.62 | $52.48 | $79.43 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $41.69 | $100.00 | $147.91 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $31.62 | $69.18 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $11.75 | $23.99 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $21.88 | $45.71 | $91.20 |
8 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 $37.15 Median $45.71 Typical High $58.88 | Facility | 80 · Assistant surgeon | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $45.71 Typical High $58.88 | Facility | 81 · Minimal assistant surgeon | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $45.71 Typical High $58.88 | Facility | 82 · Assistant surgeon, no resident | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $32.36 Median $39.81 Typical High $51.29 | Facility | AS · PA/NP assist | $32.36 | $39.81 | $51.29 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 80 · Assistant surgeon | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | AS · PA/NP assist | $8.71 | $10.96 | $13.18 |
Where Wisconsin sits
The same service costs 17.0 times more in Vermont than in Florida. 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
$85.11
VT $447FL $26.30
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.