How much rates vary
Facilitymedian $912 · 10th to 90th $398 to $2,138Professionalmedian $1,148 · 10th to 90th $468 to $3,631
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 $870.96 Typical High $870.96 | Facility | None | $199.53 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $870.96 Typical High $7,762.47 | Professional | None (both parts) | $501.19 | $870.96 | $7,762.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $2,089.30 | Professional | 26 · Professional part | $147.91 | $186.21 | $2,089.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $354.81 | $676.08 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,513.56 Typical High $3,630.78 | Professional | None (both parts) | $380.19 | $1,513.56 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $323.59 Typical High $794.33 | Professional | 26 · Professional part | $79.43 | $323.59 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,202.26 Typical High $2,884.03 | Professional | TC · Technical part | $295.12 | $1,202.26 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,778.28 | Facility | None | $1,047.13 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $660.69 Typical High $2,187.76 | Professional | None (both parts) | $549.54 | $660.69 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $389.05 | Professional | 26 · Professional part | $97.72 | $131.83 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $489.78 Typical High $1,698.24 | Professional | TC · Technical part | $426.58 | $489.78 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $1,778.28 Typical High $2,511.89 | Facility | None | $446.68 | $1,778.28 | $2,511.89 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Facility | TC · Technical part | $1,621.81 | $1,995.26 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $691.83 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $691.83 | $954.99 | $1,071.52 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $147.91 | $204.17 | $229.09 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $741.31 Typical High $891.25 | Professional | TC · Technical part | $549.54 | $741.31 | $891.25 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $3,630.78 | Facility | None | $426.58 | $831.76 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,659.59 Typical High $3,467.37 | Professional | None (both parts) | $616.60 | $1,659.59 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $354.81 Typical High $776.25 | Professional | 26 · Professional part | $102.33 | $354.81 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,479.11 Typical High $3,019.95 | Professional | TC · Technical part | $501.19 | $1,479.11 | $3,019.95 |
Network Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,071.52 | Facility | None | $630.96 | $630.96 | $1,071.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $588.84 | $1,202.26 | $1,548.82 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $169.82 | $331.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $478.63 | $1,023.29 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $912.01 | Facility | None | $398.11 | $630.96 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $851.14 Typical High $1,698.24 | Professional | None | $407.38 | $851.14 | $1,698.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $1,412.54 | Professional | None (both parts) | $549.54 | $549.54 | $1,412.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $117.49 | $288.40 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $1,148.15 | Professional | TC · Technical part | $426.58 | $426.58 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,754.23 Typical High $3,467.37 | Professional | None (both parts) | $2,290.87 | $2,754.23 | $3,467.37 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $363.08 | $478.63 | $562.34 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,187.76 Typical High $2,511.89 | Professional | TC · Technical part | $1,698.24 | $2,187.76 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,071.52 Typical High $2,041.74 | Professional | None (both parts) | $457.09 | $1,071.52 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $213.80 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $213.80 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $363.08 | $870.96 | $1,659.59 |
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 $426.58 Median $426.58 Typical High $3,890.45 | Professional | 52 · Reduced service | $426.58 | $426.58 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $1,548.82 | Professional | 53 · Discontinued | $173.78 | $173.78 | $1,548.82 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 80 · Assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 81 · Minimal assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 82 · Assistant surgeon, no resident | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | AS · PA/NP assist | $223.87 | $281.84 | $354.81 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $151.36 Typical High $169.82 | Professional | 80 · Assistant surgeon | $112.20 | $151.36 | $169.82 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $151.36 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $112.20 | $151.36 | $169.82 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $151.36 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $151.36 | $169.82 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | AS · PA/NP assist | $97.72 | $131.83 | $147.91 |
Where Wisconsin sits
The same service costs 5.5 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
$1,122
WY $1,514UT $275
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.