How much rates vary
Facilitymedian $191 · 10th to 90th $68 to $437Professionalmedian $148 · 10th to 90th $63 to $398
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 $91.20 Median $91.20 Typical High $199.53 | Facility | None | $91.20 | $91.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $616.60 | Professional | None (both parts) | $70.79 | $91.20 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.88 Typical High $190.55 | Professional | 26 · Professional part | $17.38 | $21.88 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $69.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $56.23 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $56.23 | $204.17 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $14.45 | $57.54 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $45.71 | $190.55 | $371.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $18.62 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $18.62 | $56.23 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $281.84 | Facility | None | $165.96 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $275.42 | Professional | None (both parts) | $79.43 | $97.72 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $75.86 | Professional | 26 · Professional part | $20.89 | $23.44 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $194.98 | Professional | TC · Technical part | $56.23 | $74.13 | $194.98 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $398.11 Typical High $537.03 | Facility | None | $67.61 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $346.74 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $112.20 | $154.88 | $169.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $37.15 | $40.74 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $114.82 | $128.82 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $269.15 | Facility | None | $53.70 | $72.44 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $239.88 Typical High $398.11 | Professional | None (both parts) | $70.79 | $239.88 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $66.07 Typical High $151.36 | Professional | 26 · Professional part | $18.62 | $66.07 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $51.29 | $186.21 | $309.03 |
Network Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $131.83 | Facility | None | $91.20 | $91.20 | $131.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $85.11 | $107.15 | $204.17 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $26.92 | $58.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $79.43 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $67.61 Typical High $120.23 | Facility | None | $53.70 | $67.61 | $120.23 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $141.25 Typical High $269.15 | Professional | None | $69.18 | $141.25 | $269.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $194.98 | Professional | None (both parts) | $87.10 | $87.10 | $194.98 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $51.29 | Professional | 26 · Professional part | $20.89 | $20.89 | $51.29 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $67.61 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $134.90 | $371.54 | $416.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $60.26 | $93.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $114.82 | $275.42 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $100.00 | $186.21 | $407.38 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $75.86 | $102.33 |
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 $63.10 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $63.10 | $131.83 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $16.98 | $35.48 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $45.71 | $93.33 | $186.21 |
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 $45.71 Median $45.71 Typical High $338.84 | Professional | 52 · Reduced service | $45.71 | $45.71 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $134.90 | Professional | 53 · Discontinued | $18.20 | $18.20 | $134.90 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $75.86 | Facility | AS · PA/NP assist | $47.86 | $60.26 | $75.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $24.55 Typical High $27.54 | Professional | 80 · Assistant surgeon | $18.20 | $24.55 | $27.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $24.55 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $18.20 | $24.55 | $27.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $24.55 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $24.55 | $27.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $21.38 Typical High $23.99 | Professional | AS · PA/NP assist | $15.85 | $21.38 | $23.99 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$155
AK $182TX $50.12
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.