How much rates vary
Facilitymedian $776 · 10th to 90th $257 to $2,818Professionalmedian $741 · 10th to 90th $316 to $2,754
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 $501.19 Typical High $501.19 | Facility | None | $199.53 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $3,630.78 | Professional | None (both parts) | $323.59 | $501.19 | $3,630.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $1,000.00 | Professional | 26 · Professional part | $93.33 | $158.49 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $234.42 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,122.02 Typical High $2,754.23 | Professional | None (both parts) | $281.84 | $1,122.02 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $338.84 Typical High $831.76 | Professional | 26 · Professional part | $83.18 | $338.84 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $794.33 Typical High $1,949.84 | Professional | TC · Technical part | $199.53 | $794.33 | $1,949.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $109.65 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $109.65 | $239.88 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,318.26 | Facility | None | $776.25 | $891.25 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $1,621.81 | Professional | None (both parts) | $407.38 | $467.74 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $436.52 | Professional | 26 · Professional part | $107.15 | $138.04 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $1,148.15 | Professional | TC · Technical part | $288.40 | $331.13 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $302.00 Median $1,230.27 Typical High $1,698.24 | Facility | None | $302.00 | $1,230.27 | $1,698.24 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,096.48 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $524.81 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $524.81 | $724.44 | $794.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $213.80 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $213.80 | $239.88 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $562.34 | Professional | TC · Technical part | $371.54 | $501.19 | $562.34 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $2,344.23 Typical High $3,548.13 | Facility | None | $323.59 | $2,344.23 | $3,548.13 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,380.38 Median $2,454.71 Typical High $3,630.78 | Facility | TC · Technical part | $1,380.38 | $2,454.71 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,288.25 Typical High $3,162.28 | Professional | None (both parts) | $416.87 | $1,288.25 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $389.05 Typical High $1,000.00 | Professional | 26 · Professional part | $112.20 | $389.05 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,000.00 Typical High $2,691.53 | Professional | TC · Technical part | $281.84 | $1,000.00 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $812.83 | Facility | None | $446.68 | $446.68 | $812.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $1,122.02 | Professional | None (both parts) | $416.87 | $707.95 | $1,122.02 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $346.74 | Professional | 26 · Professional part | $125.89 | $151.36 | $346.74 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $562.34 Typical High $812.83 | Professional | TC · Technical part | $309.03 | $562.34 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $512.86 Typical High $588.84 | Facility | None | $251.19 | $512.86 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $1,258.93 | Professional | None | $309.03 | $645.65 | $1,258.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $407.38 | $1,000.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $302.00 | Professional | 26 · Professional part | $117.49 | $123.03 | $302.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $776.25 | Professional | TC · Technical part | $288.40 | $288.40 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,659.59 Typical High $2,290.87 | Professional | None (both parts) | $977.24 | $1,659.59 | $2,290.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $309.03 Typical High $524.81 | Professional | 26 · Professional part | $275.42 | $309.03 | $524.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,778.28 | Professional | TC · Technical part | $676.08 | $794.33 | $1,778.28 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $446.68 Median $851.14 Typical High $2,290.87 | Professional | None (both parts) | $446.68 | $851.14 | $2,290.87 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $346.74 Typical High $562.34 | Professional | 26 · Professional part | $154.88 | $346.74 | $562.34 |
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 $338.84 Median $724.44 Typical High $1,445.44 | Professional | None (both parts) | $338.84 | $724.44 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $208.93 Typical High $446.68 | Professional | 26 · Professional part | $95.50 | $208.93 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $524.81 Typical High $1,148.15 | Professional | TC · Technical part | $234.42 | $524.81 | $1,148.15 |
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 $251.19 Median $251.19 Typical High $1,995.26 | Professional | 52 · Reduced service | $251.19 | $251.19 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $812.83 | Professional | 53 · Discontinued | $100.00 | $100.00 | $812.83 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 80 · Assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 81 · Minimal assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $190.55 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | 80 · Assistant surgeon | $85.11 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $85.11 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $114.82 | $128.82 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $100.00 Typical High $112.20 | Professional | AS · PA/NP assist | $74.13 | $100.00 | $112.20 |
Where Wisconsin sits
The same service costs 12.3 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
$759
VT $2,089UT $170
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.