How much rates vary
Facilitymedian $138 · 10th to 90th $50 to $275Professionalmedian $107 · 10th to 90th $47 to $288
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 $67.61 Median $67.61 Typical High $199.53 | Facility | None | $67.61 | $67.61 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $457.09 | Professional | None (both parts) | $48.98 | $67.61 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.78 Typical High $151.36 | Professional | 26 · Professional part | $11.75 | $17.78 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $36.31 | $48.98 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $158.49 Typical High $354.81 | Professional | None (both parts) | $42.66 | $158.49 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $11.48 | $45.71 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $31.62 | $114.82 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $204.17 | Facility | None | $120.23 | $138.04 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $70.79 Typical High $199.53 | Professional | None (both parts) | $53.70 | $70.79 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $13.18 | $18.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $151.36 | Professional | TC · Technical part | $39.81 | $52.48 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $251.19 Typical High $338.84 | Facility | None | $50.12 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $83.18 | $104.71 | $125.89 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $27.54 | $33.11 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $75.86 | $91.20 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $52.48 Typical High $269.15 | Facility | None | $38.90 | $52.48 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $50.12 | $173.78 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $13.80 | $48.98 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $35.48 | $123.03 | $269.15 |
Network Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Facility | None | $66.07 | $66.07 | $91.20 |
Network Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $177.83 | Professional | None (both parts) | $61.66 | $72.44 | $177.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $47.86 | Professional | 26 · Professional part | $16.98 | $16.98 | $47.86 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $44.67 | $54.95 | $128.82 |
Prevea360 Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $87.10 | Facility | None | $38.90 | $50.12 | $87.10 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $194.98 | Professional | None | $48.98 | $100.00 | $194.98 |
Quartz Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $141.25 | Professional | None (both parts) | $64.57 | $64.57 | $141.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $16.98 | $41.69 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $46.77 | $97.72 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $91.20 | $257.04 | $302.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $23.99 | $36.31 | $60.26 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $91.20 | $194.98 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $131.83 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $131.83 | $288.40 | $338.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $20.89 | $60.26 | $91.20 |
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 $44.67 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $44.67 | $95.50 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $26.30 Typical High $53.70 | Professional | 26 · Professional part | $12.02 | $26.30 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $32.36 | $69.18 | $147.91 |
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 $33.88 Median $33.88 Typical High $229.09 | Professional | 52 · Reduced service | $33.88 | $33.88 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $93.33 | Professional | 53 · Discontinued | $13.49 | $13.49 | $93.33 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 80 · Assistant surgeon | $13.18 | $16.60 | $19.95 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $13.18 | $16.60 | $19.95 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $16.60 | $19.95 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $14.45 Typical High $17.38 | Professional | AS · PA/NP assist | $11.48 | $14.45 | $17.38 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska 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
$112
AK $129UT $33.11
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.