How much rates vary
Facilitymedian $363 · 10th to 90th $200 to $1,349Professionalmedian $490 · 10th to 90th $224 to $1,905
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 $316.23 Typical High $316.23 | Facility | None | $199.53 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $2,884.03 | Professional | None (both parts) | $288.40 | $316.23 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $1,202.26 | Professional | 26 · Professional part | $61.66 | $107.15 | $1,202.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $691.83 Typical High $1,659.59 | Professional | None (both parts) | $173.78 | $691.83 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $229.09 Typical High $562.34 | Professional | 26 · Professional part | $56.23 | $229.09 | $562.34 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $478.63 Typical High $1,122.02 | Professional | TC · Technical part | $114.82 | $478.63 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $537.03 Typical High $794.33 | Facility | None | $467.74 | $537.03 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $977.24 | Professional | None (both parts) | $251.19 | $295.12 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $281.84 | Professional | 26 · Professional part | $69.18 | $93.33 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $199.53 | $660.69 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $1,047.13 Typical High $1,445.44 | Facility | None | $204.17 | $1,047.13 | $1,445.44 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Facility | TC · Technical part | $933.25 | $1,174.90 | $1,479.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $478.63 | Professional | None (both parts) | $316.23 | $436.52 | $478.63 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $162.18 | Professional | 26 · Professional part | $104.71 | $144.54 | $162.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $288.40 | $323.59 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $2,511.89 | Facility | None | $190.55 | $338.84 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $831.76 Typical High $1,905.46 | Professional | None (both parts) | $281.84 | $831.76 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $251.19 Typical High $436.52 | Professional | 26 · Professional part | $72.44 | $251.19 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $645.65 Typical High $1,949.84 | Professional | TC · Technical part | $204.17 | $645.65 | $1,949.84 |
Network Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $537.03 | Facility | None | $275.42 | $275.42 | $537.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $257.04 | $467.74 | $707.95 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $95.50 | $234.42 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $371.54 | $562.34 |
Prevea360 Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $354.81 | Facility | None | $169.82 | $338.84 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,023.29 | Professional | None | $186.21 | $389.05 | $1,023.29 |
Quartz Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $251.19 | $251.19 | $645.65 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $83.18 | $204.17 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $165.96 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $630.96 | $1,096.48 | $1,513.56 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $204.17 | $223.87 | $338.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $537.03 Typical High $1,174.90 | Professional | TC · Technical part | $457.09 | $537.03 | $1,174.90 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $295.12 Typical High $363.08 | Professional | 26 · Professional part | $104.71 | $295.12 | $363.08 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $208.93 | $467.74 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $66.07 | $141.25 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $338.84 Typical High $707.95 | Professional | TC · Technical part | $141.25 | $338.84 | $707.95 |
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 $158.49 Median $158.49 Typical High $1,445.44 | Professional | 52 · Reduced service | $158.49 | $158.49 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $575.44 | Professional | 53 · Discontinued | $64.57 | $64.57 | $575.44 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 80 · Assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 81 · Minimal assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 82 · Assistant surgeon, no resident | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $131.83 Median $162.18 Typical High $208.93 | Facility | AS · PA/NP assist | $131.83 | $162.18 | $208.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 80 · Assistant surgeon | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $60.26 Typical High $67.61 | Professional | AS · PA/NP assist | $44.67 | $60.26 | $67.61 |
Where Wisconsin sits
The same service costs 5.5 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· 2nd of 51
$479
AK $692UT $126
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.