How much rates vary
Facilitymedian $129 · 10th to 90th $47 to $295Professionalmedian $102 · 10th to 90th $44 to $269
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 $63.10 Median $63.10 Typical High $199.53 | Facility | None | $63.10 | $63.10 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $501.19 | Professional | None (both parts) | $43.65 | $63.10 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $199.53 | Professional | 26 · Professional part | $14.45 | $19.95 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $40.74 | $165.96 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $12.88 | $51.29 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $112.20 Typical High $229.09 | Professional | TC · Technical part | $28.18 | $112.20 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $190.55 | Facility | None | $114.82 | $128.82 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $173.78 | Professional | None (both parts) | $46.77 | $64.57 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $56.23 | Professional | 26 · Professional part | $17.78 | $20.89 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $29.51 | $44.67 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $269.15 Typical High $363.08 | Facility | None | $46.77 | $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 $77.62 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $77.62 | $97.72 | $117.49 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $32.36 | $36.31 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $63.10 | $81.28 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $223.87 | Facility | None | $37.15 | $50.12 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $47.86 | $141.25 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $16.22 | $54.95 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $30.20 | $100.00 | $190.55 |
Network Health Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $30.90 | $107.15 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $81.28 | Facility | None | $37.15 | $46.77 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $186.21 | Professional | None | $45.71 | $91.20 | $186.21 |
Quartz Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $134.90 | Professional | None (both parts) | $60.26 | $60.26 | $134.90 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $19.05 | $45.71 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $41.69 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $75.86 | $251.19 | $288.40 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $30.90 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $52.48 | $102.33 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $74.13 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $74.13 | $123.03 | $257.04 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $23.44 | $66.07 | $83.18 |
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 $40.74 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $40.74 | $89.13 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $14.79 | $30.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $26.92 | $57.54 | $114.82 |
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 $12.30 Median $15.85 Typical High $18.62 | Professional | 80 · Assistant surgeon | $12.30 | $15.85 | $18.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $15.85 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $12.30 | $15.85 | $18.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $15.85 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $15.85 | $18.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $13.80 Typical High $16.60 | Professional | AS · PA/NP assist | $10.72 | $13.80 | $16.60 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska 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· 3rd of 51
$105
AK $126FL $30.90
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.