How much rates vary
Facilitymedian $200 · 10th to 90th $78 to $479Professionalmedian $170 · 10th to 90th $69 to $457
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 $104.71 Median $104.71 Typical High $199.53 | Facility | None | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $630.96 | Professional | None (both parts) | $69.18 | $104.71 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $204.17 | Professional | 26 · Professional part | $16.22 | $22.39 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $53.70 | $83.18 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $67.61 | $275.42 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $15.14 | $58.88 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $53.70 | $208.93 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $19.05 | $66.07 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $323.59 | Facility | None | $190.55 | $218.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $74.13 | $107.15 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $64.57 | Professional | 26 · Professional part | $19.05 | $23.99 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $54.95 | $85.11 | $223.87 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $426.58 Typical High $588.84 | Facility | None | $77.62 | $426.58 | $588.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $588.84 | Facility | TC · Technical part | $371.54 | $457.09 | $588.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $128.82 | $162.18 | $194.98 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $38.02 | $41.69 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $123.03 | $154.88 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $177.83 Typical High $363.08 | Facility | None | $64.57 | $177.83 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $75.86 | $251.19 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $19.05 | $67.61 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $56.23 | $181.97 | $354.81 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Network Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $87.10 | $134.90 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $138.04 | Facility | None | $60.26 | $77.62 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $309.03 | Professional | None | $79.43 | $158.49 | $309.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $100.00 | $100.00 | $218.78 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $53.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $79.43 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Security Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $120.23 | $416.87 | $467.74 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $33.88 | $44.67 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $97.72 | $194.98 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $446.68 | Professional | None (both parts) | $107.15 | $208.93 | $446.68 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $27.54 | $79.43 | $100.00 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $100.00 | $181.97 | $354.81 |
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 $69.18 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $69.18 | $144.54 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $17.38 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $51.29 | $109.65 | $218.78 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | 80 · Assistant surgeon | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | 81 · Minimal assistant surgeon | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | 82 · Assistant surgeon, no resident | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $52.48 Median $64.57 Typical High $81.28 | Facility | AS · PA/NP assist | $52.48 | $64.57 | $81.28 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $26.30 Typical High $31.62 | Professional | 80 · Assistant surgeon | $20.89 | $26.30 | $31.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $26.30 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $20.89 | $26.30 | $31.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $26.30 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $26.30 | $31.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $22.91 Typical High $27.54 | Professional | AS · PA/NP assist | $18.20 | $22.91 | $27.54 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$170
AK $204FL $56.23
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.