How much rates vary
Facilitymedian $603 · 10th to 90th $219 to $2,570Professionalmedian $617 · 10th to 90th $234 to $2,344
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 $446.68 Typical High $446.68 | Facility | None | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $3,019.95 | Professional | None (both parts) | $269.15 | $446.68 | $3,019.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $912.01 | Professional | 26 · Professional part | $109.65 | $158.49 | $912.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $281.84 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $812.83 Typical High $1,862.09 | Professional | None (both parts) | $194.98 | $812.83 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $275.42 Typical High $676.08 | Professional | 26 · Professional part | $67.61 | $275.42 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $125.89 | $512.86 | $1,202.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $89.13 | $147.91 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $891.25 | Facility | None | $524.81 | $602.56 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $1,122.02 | Professional | None (both parts) | $281.84 | $363.08 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $346.74 | Professional | 26 · Professional part | $85.11 | $114.82 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $218.78 | $724.44 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,230.27 Typical High $1,737.80 | Facility | None | $229.09 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $549.54 | Professional | None (both parts) | $354.81 | $489.78 | $549.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $194.98 | Professional | 26 · Professional part | $128.82 | $177.83 | $194.98 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $309.03 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $309.03 | $346.74 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $2,290.87 Typical High $3,388.44 | Facility | None | $354.81 | $2,290.87 | $3,388.44 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $2,344.23 Typical High $4,168.69 | Facility | TC · Technical part | $1,513.56 | $2,344.23 | $4,168.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,023.29 Typical High $3,162.28 | Professional | None (both parts) | $346.74 | $1,023.29 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $323.59 Typical High $724.44 | Professional | 26 · Professional part | $91.20 | $323.59 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $812.83 Typical High $2,754.23 | Professional | TC · Technical part | $223.87 | $812.83 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $758.58 | Facility | None | $316.23 | $316.23 | $758.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $794.33 Typical High $870.96 | Professional | None (both parts) | $295.12 | $794.33 | $870.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $100.00 | $147.91 | $281.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $616.60 Typical High $724.44 | Professional | TC · Technical part | $194.98 | $616.60 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $416.87 Typical High $630.96 | Facility | None | $204.17 | $416.87 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $436.52 Typical High $1,000.00 | Professional | None | $213.80 | $436.52 | $1,000.00 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $954.99 | Professional | None (both parts) | $281.84 | $281.84 | $954.99 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $102.33 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $177.83 | $489.78 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,737.80 Typical High $2,691.53 | Professional | None (both parts) | $1,318.26 | $1,737.80 | $2,691.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $446.68 Typical High $912.01 | Professional | 26 · Professional part | $302.00 | $446.68 | $912.01 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,584.89 Typical High $1,737.80 | Professional | TC · Technical part | $831.76 | $1,584.89 | $1,737.80 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $338.84 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $338.84 | $630.96 | $1,348.96 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $363.08 Typical High $537.03 | Professional | 26 · Professional part | $125.89 | $363.08 | $537.03 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $489.78 Typical High $1,905.46 | Professional | TC · Technical part | $218.78 | $489.78 | $1,905.46 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $616.60 Typical High $1,230.27 | Professional | None (both parts) | $234.42 | $616.60 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $194.98 Typical High $354.81 | Professional | 26 · Professional part | $79.43 | $194.98 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $407.38 Typical High $1,202.26 | Professional | TC · Technical part | $151.36 | $407.38 | $1,202.26 |
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 $218.78 Median $218.78 Typical High $1,513.56 | Professional | 52 · Reduced service | $218.78 | $218.78 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $616.60 | Professional | 53 · Discontinued | $89.13 | $89.13 | $616.60 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $77.62 Typical High $87.10 | Professional | 80 · Assistant surgeon | $57.54 | $77.62 | $87.10 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $77.62 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $57.54 | $77.62 | $87.10 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $77.62 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $77.62 | $87.10 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | AS · PA/NP assist | $50.12 | $67.61 | $75.86 |
Where Wisconsin sits
The same service costs 24.0 times more in Vermont 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· 5th of 51
$617
VT $2,951UT $123
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.