How much rates vary
Facilitymedian $661 · 10th to 90th $295 to $2,455Professionalmedian $832 · 10th to 90th $347 to $3,162
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 $630.96 Typical High $630.96 | Facility | None | $199.53 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $630.96 Typical High $5,248.07 | Professional | None (both parts) | $478.63 | $630.96 | $5,248.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $1,995.26 | Professional | 26 · Professional part | $131.83 | $194.98 | $1,995.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $263.03 | $436.52 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,122.02 Typical High $2,691.53 | Professional | None (both parts) | $275.42 | $1,122.02 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $331.13 Typical High $831.76 | Professional | 26 · Professional part | $83.18 | $331.13 | $831.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $794.33 Typical High $1,862.09 | Professional | TC · Technical part | $194.98 | $794.33 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,288.25 | Facility | None | $758.58 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $1,584.89 | Professional | None (both parts) | $398.11 | $478.63 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $436.52 | Professional | 26 · Professional part | $109.65 | $138.04 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $1,122.02 | Professional | TC · Technical part | $281.84 | $346.74 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $1,778.28 Typical High $2,511.89 | Facility | None | $331.13 | $1,778.28 | $2,511.89 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Facility | TC · Technical part | $1,621.81 | $1,995.26 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $512.86 Median $707.95 Typical High $776.25 | Professional | None (both parts) | $512.86 | $707.95 | $776.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $213.80 | $234.42 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $354.81 | $489.78 | $588.84 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $2,691.53 | Facility | None | $309.03 | $660.69 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,348.96 Typical High $3,467.37 | Professional | None (both parts) | $489.78 | $1,348.96 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $389.05 Typical High $645.65 | Professional | 26 · Professional part | $109.65 | $389.05 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,047.13 Typical High $3,019.95 | Professional | TC · Technical part | $354.81 | $1,047.13 | $3,019.95 |
Network Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $426.58 | $1,096.48 | $1,148.15 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $190.55 Typical High $338.84 | Professional | 26 · Professional part | $125.89 | $190.55 | $338.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $912.01 Typical High $933.25 | Professional | TC · Technical part | $309.03 | $912.01 | $933.25 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $660.69 | Facility | None | $295.12 | $549.54 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,445.44 | Professional | None | $302.00 | $630.96 | $1,445.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $1,096.48 | Professional | None (both parts) | $398.11 | $398.11 | $1,096.48 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | 26 · Professional part | $123.03 | $123.03 | $295.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $281.84 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,995.26 Typical High $2,818.38 | Professional | None (both parts) | $1,621.81 | $1,995.26 | $2,818.38 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $537.03 Typical High $575.44 | Professional | 26 · Professional part | $363.08 | $537.03 | $575.44 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,513.56 Typical High $2,290.87 | Professional | TC · Technical part | $1,096.48 | $1,513.56 | $2,290.87 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $436.52 Typical High $630.96 | Professional | 26 · Professional part | $154.88 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $831.76 Typical High $1,584.89 | Professional | None (both parts) | $338.84 | $831.76 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $223.87 Typical High $426.58 | Professional | 26 · Professional part | $97.72 | $223.87 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $588.84 Typical High $1,348.96 | Professional | TC · Technical part | $239.88 | $588.84 | $1,348.96 |
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 $316.23 Median $316.23 Typical High $2,630.27 | Professional | 52 · Reduced service | $316.23 | $316.23 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $1,047.13 | Professional | 53 · Discontinued | $125.89 | $125.89 | $1,047.13 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 80 · Assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 81 · Minimal assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 82 · Assistant surgeon, no resident | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | AS · PA/NP assist | $223.87 | $281.84 | $354.81 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 80 · Assistant surgeon | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $83.18 | $112.20 | $125.89 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $97.72 Typical High $109.65 | Professional | AS · PA/NP assist | $72.44 | $97.72 | $109.65 |
Where Wisconsin sits
The same service costs 5.9 times more in Wyoming 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· 3rd of 51
$832
WY $1,122UT $191
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.