How much rates vary
Facilitymedian $174 · 10th to 90th $47 to $309Professionalmedian $98 · 10th to 90th $41 to $257
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 $57.54 Median $58.88 Typical High $199.53 | Facility | None | $57.54 | $58.88 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $162.18 | Professional | None (both parts) | $40.74 | $58.88 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $123.03 | Professional | 26 · Professional part | $11.22 | $16.22 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $43.65 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $38.90 | $154.88 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $10.47 | $41.69 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $28.18 | $104.71 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.49 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $13.49 | $34.67 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $181.97 | Facility | None | $107.15 | $123.03 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $66.07 Typical High $223.87 | Professional | None (both parts) | $43.65 | $66.07 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $48.98 | Professional | 26 · Professional part | $13.49 | $17.38 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $31.62 | $44.67 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $251.19 Typical High $338.84 | Facility | None | $43.65 | $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 $72.44 Median $91.20 Typical High $109.65 | Professional | None (both parts) | $72.44 | $91.20 | $109.65 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $26.92 | $30.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $67.61 | $81.28 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $194.98 Typical High $549.54 | Facility | None | $46.77 | $194.98 | $549.54 |
Medica Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $537.03 | Facility | TC · Technical part | $177.83 | $323.59 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $154.88 Typical High $257.04 | Professional | None (both parts) | $43.65 | $154.88 | $257.04 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $13.49 | $48.98 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $102.33 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $102.33 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $74.13 | Facility | None | $58.88 | $58.88 | $74.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $158.49 | Professional | None (both parts) | $54.95 | $60.26 | $158.49 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $18.20 | $43.65 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $114.82 | Professional | TC · Technical part | $39.81 | $41.69 | $114.82 |
Prevea360 Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $77.62 | Facility | None | $34.67 | $43.65 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $93.33 Typical High $173.78 | Professional | None | $44.67 | $93.33 | $173.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $151.36 | Professional | None (both parts) | $57.54 | $57.54 | $151.36 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $38.02 | Professional | 26 · Professional part | $15.49 | $15.49 | $38.02 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $41.69 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Security Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $208.93 Typical High $269.15 | Professional | None (both parts) | $81.28 | $208.93 | $269.15 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $39.81 | $64.57 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $141.25 | Professional | TC · Technical part | $51.29 | $64.57 | $141.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $70.79 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $70.79 | $117.49 | $257.04 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $19.95 | $56.23 | $81.28 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $53.70 | $104.71 | $186.21 |
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 $38.90 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $38.90 | $81.28 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $24.55 Typical High $48.98 | Professional | 26 · Professional part | $11.75 | $24.55 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $26.92 | $57.54 | $112.20 |
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 $29.51 Median $29.51 Typical High $120.23 | Professional | 52 · Reduced service | $29.51 | $29.51 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $47.86 | Professional | 53 · Discontinued | $12.02 | $12.02 | $47.86 |
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 $11.75 Median $14.79 Typical High $17.78 | Professional | 80 · Assistant surgeon | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $14.79 | $17.78 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | AS · PA/NP assist | $10.23 | $12.88 | $15.49 |
Where Wisconsin sits
The same service costs 12.6 times more in Vermont 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· 5th of 51
$100
VT $389FL $30.90
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.