How much rates vary
Facilitymedian $129 · 10th to 90th $47 to $275Professionalmedian $102 · 10th to 90th $43 to $269
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 $63.10 Median $63.10 Typical High $199.53 | Facility | None | $63.10 | $63.10 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $363.08 | Professional | None (both parts) | $45.71 | $63.10 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $18.20 Typical High $138.04 | Professional | 26 · Professional part | $12.02 | $18.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $44.67 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $165.96 Typical High $331.13 | Professional | None (both parts) | $40.74 | $165.96 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $11.75 | $47.86 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $28.84 | $117.49 | $234.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $15.49 | $35.48 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $190.55 | Facility | None | $114.82 | $128.82 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $173.78 | Professional | None (both parts) | $44.67 | $66.07 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $51.29 | Professional | 26 · Professional part | $13.49 | $19.05 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $123.03 | Professional | TC · Technical part | $33.11 | $46.77 | $123.03 |
DeanCare Setting Facility Modifier None Typical Low $46.77 Median $251.19 Typical High $338.84 | Facility | None | $46.77 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $77.62 | $97.72 | $117.49 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $28.18 | $33.88 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $54.95 | $69.18 | $85.11 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $74.13 Typical High $269.15 | Facility | None | $38.90 | $74.13 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $46.77 | $151.36 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $14.45 | $48.98 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $31.62 | $114.82 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Facility | None | $61.66 | $61.66 | $89.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $169.82 | Professional | None (both parts) | $57.54 | $69.18 | $169.82 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $17.78 | $48.98 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $40.74 | $51.29 | $120.23 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $46.77 Typical High $81.28 | Facility | None | $37.15 | $46.77 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $186.21 | Professional | None | $47.86 | $100.00 | $186.21 |
Quartz Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $131.83 | Professional | None (both parts) | $60.26 | $60.26 | $131.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $17.38 | $42.66 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $89.13 | Professional | TC · Technical part | $42.66 | $42.66 | $89.13 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $87.10 | $251.19 | $281.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $39.81 | $63.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $72.44 | $190.55 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $75.86 | $112.20 | $275.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $22.91 | $64.57 | $93.33 |
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 $41.69 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $41.69 | $87.10 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $11.75 | $26.30 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $58.88 Typical High $117.49 | Professional | TC · Technical part | $28.18 | $58.88 | $117.49 |
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 $31.62 Median $31.62 Typical High $181.97 | Professional | 52 · Reduced service | $31.62 | $31.62 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $72.44 | Professional | 53 · Discontinued | $12.59 | $12.59 | $72.44 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 80 · Assistant surgeon | $12.30 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $12.30 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $13.80 Typical High $16.60 | Professional | AS · PA/NP assist | $10.72 | $13.80 | $16.60 |
Where Wisconsin sits
The same service costs 3.7 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· 3rd of 51
$105
AK $123UT $33.11
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.