How much rates vary
Facilitymedian $427 · 10th to 90th $200 to $1,413Professionalmedian $589 · 10th to 90th $263 to $2,291
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 $371.54 Typical High $371.54 | Facility | None | $199.53 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $371.54 Typical High $3,388.44 | Professional | None (both parts) | $363.08 | $371.54 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $1,288.25 | Professional | 26 · Professional part | $85.11 | $112.20 | $1,288.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | TC · Technical part | $263.03 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $831.76 Typical High $1,949.84 | Professional | None (both parts) | $199.53 | $831.76 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $234.42 Typical High $588.84 | Professional | 26 · Professional part | $58.88 | $234.42 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $588.84 Typical High $1,380.38 | Professional | TC · Technical part | $141.25 | $588.84 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $933.25 | Facility | None | $549.54 | $630.96 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $288.40 | $346.74 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $295.12 | Professional | 26 · Professional part | $72.44 | $97.72 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $812.83 | Professional | TC · Technical part | $204.17 | $245.47 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,174.90 Typical High $1,621.81 | Facility | None | $229.09 | $1,174.90 | $1,621.81 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Facility | TC · Technical part | $1,071.52 | $1,318.26 | $1,659.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $371.54 | $512.86 | $562.34 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $151.36 | $165.96 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $398.11 | Professional | TC · Technical part | $263.03 | $354.81 | $398.11 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $398.11 Typical High $2,511.89 | Facility | None | $223.87 | $398.11 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $977.24 Typical High $2,290.87 | Professional | None (both parts) | $331.13 | $977.24 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $257.04 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $257.04 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $794.33 Typical High $1,995.26 | Professional | TC · Technical part | $251.19 | $794.33 | $1,995.26 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $645.65 | Facility | None | $323.59 | $323.59 | $645.65 |
Network Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $302.00 | $562.34 | $831.76 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $100.00 | $239.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $218.78 | $467.74 | $691.83 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $426.58 | Facility | None | $199.53 | $398.11 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $457.09 Typical High $1,202.26 | Professional | None | $218.78 | $457.09 | $1,202.26 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $288.40 | $288.40 | $758.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $87.10 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $204.17 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,288.25 Typical High $1,819.70 | Professional | None (both parts) | $741.31 | $1,288.25 | $1,819.70 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $208.93 | $234.42 | $346.74 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $660.69 Typical High $1,445.44 | Professional | TC · Technical part | $562.34 | $660.69 | $1,445.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 26 · Professional part | $389.05 | $389.05 | $457.09 |
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 $245.47 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $245.47 | $549.54 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $144.54 Typical High $309.03 | Professional | 26 · Professional part | $67.61 | $144.54 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $407.38 Typical High $891.25 | Professional | TC · Technical part | $173.78 | $407.38 | $891.25 |
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 $186.21 Median $186.21 Typical High $1,698.24 | Professional | 52 · Reduced service | $186.21 | $186.21 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $676.08 | Professional | 53 · Discontinued | $74.13 | $74.13 | $676.08 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 80 · Assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 81 · Minimal assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 82 · Assistant surgeon, no resident | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $147.91 Median $186.21 Typical High $234.42 | Facility | AS · PA/NP assist | $147.91 | $186.21 | $234.42 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 80 · Assistant surgeon | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $70.79 Typical High $79.43 | Professional | AS · PA/NP assist | $52.48 | $70.79 | $79.43 |
Where Wisconsin sits
The same service costs 5.2 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
$575
AK $794UT $151
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.