How much rates vary
Facilitymedian $372 · 10th to 90th $162 to $1,820Professionalmedian $389 · 10th to 90th $166 to $1,349
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 $251.19 Typical High $251.19 | Facility | None | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $1,862.09 | Professional | None (both parts) | $223.87 | $251.19 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $630.96 | Professional | 26 · Professional part | $52.48 | $95.50 | $630.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $154.88 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $134.90 | $549.54 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $199.53 Typical High $489.78 | Professional | 26 · Professional part | $50.12 | $199.53 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $85.11 | $346.74 | $812.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $64.57 | $100.00 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $630.96 | Facility | None | $371.54 | $416.87 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $776.25 | Professional | None (both parts) | $194.98 | $234.42 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $234.42 | Professional | 26 · Professional part | $66.07 | $81.28 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $478.63 | Professional | TC · Technical part | $120.23 | $144.54 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $537.03 Typical High $758.58 | Facility | None | $151.36 | $537.03 | $758.58 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $758.58 | Facility | TC · Technical part | $478.63 | $588.84 | $758.58 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $251.19 | $338.84 | $380.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $128.82 | $141.25 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $213.80 | $234.42 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $1,445.44 Typical High $2,511.89 | Facility | None | $151.36 | $1,445.44 | $2,511.89 |
Medica Setting Facility Modifier TC · Technical part Typical Low $954.99 Median $1,445.44 Typical High $1,949.84 | Facility | TC · Technical part | $954.99 | $1,445.44 | $1,949.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $676.08 Typical High $1,621.81 | Professional | None (both parts) | $229.09 | $676.08 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $251.19 Typical High $398.11 | Professional | 26 · Professional part | $67.61 | $251.19 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $478.63 Typical High $1,380.38 | Professional | TC · Technical part | $154.88 | $478.63 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $426.58 | Facility | None | $213.80 | $213.80 | $426.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $199.53 | $371.54 | $562.34 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $81.28 | $204.17 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $128.82 | $295.12 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $302.00 | Facility | None | $134.90 | $263.03 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $724.44 | Professional | None | $147.91 | $302.00 | $724.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $194.98 | $194.98 | $524.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $74.13 | $194.98 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $120.23 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $851.14 Typical High $1,202.26 | Professional | None (both parts) | $588.84 | $851.14 | $1,202.26 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | 26 · Professional part | $169.82 | $213.80 | $281.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $416.87 | $588.84 | $933.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $1,122.02 | Professional | None (both parts) | $234.42 | $346.74 | $1,122.02 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $257.04 Typical High $323.59 | Professional | 26 · Professional part | $91.20 | $257.04 | $323.59 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $758.58 | Professional | TC · Technical part | $151.36 | $295.12 | $758.58 |
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 $162.18 Median $389.05 Typical High $891.25 | Professional | None (both parts) | $162.18 | $389.05 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $131.83 Typical High $281.84 | Professional | 26 · Professional part | $58.88 | $131.83 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $102.33 | $251.19 | $616.60 |
10 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 $125.89 Median $125.89 Typical High $1,318.26 | Professional | 52 · Reduced service | $125.89 | $125.89 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $537.03 | Professional | 53 · Discontinued | $50.12 | $50.12 | $537.03 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 80 · Assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 81 · Minimal assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 82 · Assistant surgeon, no resident | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | AS · PA/NP assist | $67.61 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | 80 · Assistant surgeon | $39.81 | $54.95 | $60.26 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $39.81 | $54.95 | $60.26 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $54.95 | $60.26 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $47.86 Typical High $52.48 | Professional | AS · PA/NP assist | $34.67 | $47.86 | $52.48 |
Where Wisconsin sits
The same service costs 6.2 times more in Vermont 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· 4th of 51
$389
VT $617UT $100
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.