How much rates vary
Facilitymedian $141 · 10th to 90th $51 to $550Professionalmedian $110 · 10th to 90th $47 to $295
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 $69.18 Median $69.18 Typical High $199.53 | Facility | None | $69.18 | $69.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $537.03 | Professional | None (both parts) | $46.77 | $69.18 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $223.87 | Professional | 26 · Professional part | $16.60 | $22.39 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $29.51 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $44.67 | $181.97 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $14.45 | $58.88 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $30.20 | $114.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $208.93 | Facility | None | $123.03 | $141.25 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $186.21 | Professional | None (both parts) | $50.12 | $69.18 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $23.44 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $47.86 Typical High $125.89 | Professional | TC · Technical part | $31.62 | $47.86 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $51.29 Median $489.78 Typical High $676.08 | Facility | None | $51.29 | $489.78 | $676.08 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $524.81 Typical High $676.08 | Facility | TC · Technical part | $426.58 | $524.81 | $676.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $85.11 | $107.15 | $128.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $37.15 | $40.74 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $67.61 | $87.10 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $53.70 Typical High $269.15 | Facility | None | $40.74 | $53.70 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $51.29 | $154.88 | $295.12 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $19.50 | $64.57 | $93.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $104.71 Typical High $204.17 | Professional | TC · Technical part | $30.90 | $104.71 | $204.17 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Network Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $33.88 | $117.49 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $51.29 Typical High $89.13 | Facility | None | $40.74 | $51.29 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $199.53 | Professional | None | $50.12 | $100.00 | $199.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $147.91 | Professional | None (both parts) | $66.07 | $66.07 | $147.91 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $21.38 | $54.95 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $44.67 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $81.28 | $269.15 | $309.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $35.48 | $53.70 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $54.95 | $109.65 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $79.43 | $117.49 | $281.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $26.92 | $77.62 | $100.00 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $43.65 | $97.72 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $16.98 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $28.84 | $60.26 | $120.23 |
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 $67.61 Median $85.11 Typical High $107.15 | Facility | 80 · Assistant surgeon | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $85.11 Typical High $107.15 | Facility | 81 · Minimal assistant surgeon | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $85.11 Typical High $107.15 | Facility | 82 · Assistant surgeon, no resident | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | AS · PA/NP assist | $60.26 | $74.13 | $93.33 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $16.98 Typical High $20.42 | Professional | 80 · Assistant surgeon | $13.49 | $16.98 | $20.42 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $16.98 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $13.49 | $16.98 | $20.42 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $16.98 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $16.98 | $20.42 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | AS · PA/NP assist | $11.75 | $14.79 | $17.78 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska 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· 3rd of 51
$112
AK $129UT $33.11
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.