How much rates vary
Facilitymedian $525 · 10th to 90th $200 to $2,399Professionalmedian $479 · 10th to 90th $204 to $1,905
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 $181.97 Median $316.23 Typical High $316.23 | Facility | None | $181.97 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $2,290.87 | Professional | None (both parts) | $208.93 | $316.23 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $645.65 | Professional | 26 · Professional part | $60.26 | $102.33 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $208.93 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $691.83 Typical High $1,621.81 | Professional | None (both parts) | $169.82 | $691.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $218.78 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $218.78 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $416.87 Typical High $1,096.48 | Professional | TC · Technical part | $123.03 | $416.87 | $1,096.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $70.79 | $138.04 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $776.25 | Facility | None | $457.09 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $977.24 | Professional | None (both parts) | $245.47 | $316.23 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $281.84 | Professional | 26 · Professional part | $70.79 | $89.13 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $199.53 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $199.53 Median $1,047.13 Typical High $1,445.44 | Facility | None | $199.53 | $1,047.13 | $1,445.44 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Facility | TC · Technical part | $933.25 | $1,174.90 | $1,479.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $478.63 | Professional | None (both parts) | $309.03 | $426.58 | $478.63 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $158.49 | Professional | 26 · Professional part | $102.33 | $138.04 | $158.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $323.59 | Professional | TC · Technical part | $208.93 | $288.40 | $323.59 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $1,513.56 Typical High $2,511.89 | Facility | None | $288.40 | $1,513.56 | $2,511.89 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,819.70 Typical High $2,570.40 | Facility | TC · Technical part | $1,096.48 | $1,819.70 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $831.76 Typical High $1,905.46 | Professional | None (both parts) | $281.84 | $831.76 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $269.15 Typical High $446.68 | Professional | 26 · Professional part | $74.13 | $269.15 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $630.96 Typical High $1,584.89 | Professional | TC · Technical part | $199.53 | $630.96 | $1,584.89 |
Network Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $537.03 | Facility | None | $269.15 | $269.15 | $537.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $467.74 Typical High $691.83 | Professional | None (both parts) | $251.19 | $467.74 | $691.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $97.72 | $223.87 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $173.78 | $371.54 | $549.54 |
Prevea360 Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $371.54 | Facility | None | $165.96 | $331.13 | $371.54 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $380.19 Typical High $870.96 | Professional | None | $186.21 | $380.19 | $870.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $245.47 | $245.47 | $660.69 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $79.43 | $208.93 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $165.96 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $1,513.56 | Professional | None (both parts) | $741.31 | $1,071.52 | $1,513.56 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $245.47 Typical High $346.74 | Professional | 26 · Professional part | $204.17 | $245.47 | $346.74 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $1,148.15 | Professional | TC · Technical part | $537.03 | $691.83 | $1,148.15 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $1,380.38 | Professional | None (both parts) | $295.12 | $436.52 | $1,380.38 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $281.84 Typical High $371.54 | Professional | 26 · Professional part | $100.00 | $281.84 | $371.54 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $1,000.00 | Professional | TC · Technical part | $204.17 | $331.13 | $1,000.00 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $204.17 | $457.09 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $144.54 Typical High $309.03 | Professional | 26 · Professional part | $66.07 | $144.54 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $331.13 | $707.95 |
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 $154.88 Median $154.88 Typical High $1,230.27 | Professional | 52 · Reduced service | $154.88 | $154.88 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $489.78 | Professional | 53 · Discontinued | $63.10 | $63.10 | $489.78 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 80 · Assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 81 · Minimal assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 82 · Assistant surgeon, no resident | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $131.83 Median $162.18 Typical High $208.93 | Facility | AS · PA/NP assist | $131.83 | $162.18 | $208.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 80 · Assistant surgeon | $50.12 | $67.61 | $75.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $50.12 | $67.61 | $75.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $50.12 | $67.61 | $75.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $60.26 Typical High $66.07 | Professional | AS · PA/NP assist | $43.65 | $60.26 | $66.07 |
Where Wisconsin sits
The same service costs 5.9 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· 5th of 51
$490
VT $741UT $126
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.