How much rates vary
Facilitymedian $724 · 10th to 90th $295 to $1,738Professionalmedian $1,000 · 10th to 90th $417 to $3,311
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 $724.44 Typical High $724.44 | Facility | None | $199.53 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $724.44 Typical High $4,466.84 | Professional | None (both parts) | $501.19 | $724.44 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $1,122.02 | Professional | 26 · Professional part | $107.15 | $158.49 | $1,122.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,380.38 Typical High $3,311.31 | Professional | None (both parts) | $338.84 | $1,380.38 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $269.15 Typical High $676.08 | Professional | 26 · Professional part | $67.61 | $269.15 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $1,096.48 Typical High $2,630.27 | Professional | TC · Technical part | $275.42 | $1,096.48 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,584.89 | Facility | None | $933.25 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $1,949.84 | Professional | None (both parts) | $489.78 | $562.34 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $338.84 | Professional | 26 · Professional part | $81.28 | $112.20 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $446.68 Typical High $1,584.89 | Professional | TC · Technical part | $389.05 | $446.68 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,737.80 | Facility | None | $354.81 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $954.99 | Professional | None (both parts) | $630.96 | $851.14 | $954.99 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $173.78 | $194.98 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $676.08 Typical High $758.58 | Professional | TC · Technical part | $501.19 | $676.08 | $758.58 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $2,884.03 | Facility | None | $302.00 | $630.96 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,479.11 Typical High $3,090.30 | Professional | None (both parts) | $562.34 | $1,479.11 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $302.00 Typical High $676.08 | Professional | 26 · Professional part | $87.10 | $302.00 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $1,348.96 Typical High $2,691.53 | Professional | TC · Technical part | $457.09 | $1,348.96 | $2,691.53 |
Network Health Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $954.99 | Facility | None | $575.44 | $575.44 | $954.99 |
Network Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,071.52 Typical High $1,412.54 | Professional | None (both parts) | $537.03 | $1,071.52 | $1,412.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $144.54 | $275.42 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $933.25 Typical High $1,122.02 | Professional | TC · Technical part | $436.52 | $933.25 | $1,122.02 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $691.83 | Facility | None | $295.12 | $524.81 | $691.83 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $758.58 Typical High $1,862.09 | Professional | None | $371.54 | $758.58 | $1,862.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $489.78 | $489.78 | $1,288.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $100.00 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $1,047.13 | Professional | TC · Technical part | $389.05 | $389.05 | $1,047.13 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,137.96 Typical High $2,691.53 | Professional | None (both parts) | $1,778.28 | $2,137.96 | $2,691.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $398.11 Typical High $478.63 | Professional | 26 · Professional part | $302.00 | $398.11 | $478.63 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,995.26 Typical High $2,290.87 | Professional | TC · Technical part | $1,380.38 | $1,995.26 | $2,290.87 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $588.84 Median $977.24 Typical High $2,951.21 | Professional | None (both parts) | $588.84 | $977.24 | $2,951.21 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $123.03 | $346.74 | $524.81 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $977.24 Typical High $2,238.72 | Professional | None (both parts) | $416.87 | $977.24 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $77.62 | $181.97 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $812.83 Typical High $1,819.70 | Professional | TC · Technical part | $331.13 | $812.83 | $1,819.70 |
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 $363.08 Median $363.08 Typical High $2,238.72 | Professional | 52 · Reduced service | $363.08 | $363.08 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $891.25 | Professional | 53 · Discontinued | $144.54 | $144.54 | $891.25 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $138.04 Typical High $151.36 | Professional | 80 · Assistant surgeon | $100.00 | $138.04 | $151.36 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $138.04 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $100.00 | $138.04 | $151.36 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $138.04 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $138.04 | $151.36 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $120.23 Typical High $134.90 | Professional | AS · PA/NP assist | $87.10 | $120.23 | $134.90 |
Where Wisconsin sits
The same service costs 6.3 times more in Wyoming 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
$1,000
WY $1,349UT $214
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.