How much rates vary
Facilitymedian $525 · 10th to 90th $251 to $1,549Professionalmedian $832 · 10th to 90th $347 to $3,020
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 $489.78 Typical High $489.78 | Facility | None | $199.53 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $489.78 Typical High $4,073.80 | Professional | None (both parts) | $478.63 | $489.78 | $4,073.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $1,380.38 | Professional | 26 · Professional part | $91.20 | $158.49 | $1,380.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $281.84 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,230.27 Typical High $2,884.03 | Professional | None (both parts) | $309.03 | $1,230.27 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $331.13 Typical High $812.83 | Professional | 26 · Professional part | $83.18 | $331.13 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $912.01 Typical High $1,995.26 | Professional | TC · Technical part | $223.87 | $912.01 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,445.44 | Facility | None | $851.14 | $954.99 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $489.78 Typical High $1,778.28 | Professional | None (both parts) | $426.58 | $489.78 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $416.87 | Professional | 26 · Professional part | $102.33 | $134.90 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $1,288.25 | Professional | TC · Technical part | $316.23 | $363.08 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $1,698.24 | Facility | None | $295.12 | $1,230.27 | $1,698.24 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,096.48 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $870.96 | Professional | None (both parts) | $575.44 | $776.25 | $870.96 |
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 $416.87 Median $549.54 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $549.54 | $630.96 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,511.89 | Facility | None | $251.19 | $501.19 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,380.38 Typical High $3,090.30 | Professional | None (both parts) | $436.52 | $1,380.38 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $363.08 Typical High $549.54 | Professional | 26 · Professional part | $107.15 | $363.08 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $977.24 Typical High $2,630.27 | Professional | TC · Technical part | $316.23 | $977.24 | $2,630.27 |
Network Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Facility | None | $489.78 | $489.78 | $812.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $724.44 | $1,096.48 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $141.25 | $338.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $588.84 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $588.84 | $933.25 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $575.44 | Facility | None | $251.19 | $501.19 | $575.44 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $691.83 Typical High $1,380.38 | Professional | None | $338.84 | $691.83 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $446.68 | $1,047.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $123.03 | $295.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $776.25 | Professional | TC · Technical part | $323.59 | $323.59 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,621.81 Typical High $2,290.87 | Professional | None (both parts) | $1,000.00 | $1,621.81 | $2,290.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $501.19 | Professional | 26 · Professional part | $275.42 | $302.00 | $501.19 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $794.33 Typical High $1,778.28 | Professional | TC · Technical part | $691.83 | $794.33 | $1,778.28 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,398.83 |
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 $363.08 Median $758.58 Typical High $1,548.82 | Professional | None (both parts) | $363.08 | $758.58 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $204.17 Typical High $436.52 | Professional | 26 · Professional part | $93.33 | $204.17 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $549.54 Typical High $1,122.02 | Professional | TC · Technical part | $257.04 | $549.54 | $1,122.02 |
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 $245.47 Median $245.47 Typical High $2,041.74 | Professional | 52 · Reduced service | $245.47 | $245.47 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $812.83 | Professional | 53 · Discontinued | $100.00 | $100.00 | $812.83 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 80 · Assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 81 · Minimal assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $190.55 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 80 · Assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | AS · PA/NP assist | $79.43 | $107.15 | $120.23 |
Where Wisconsin sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$813
AK $977TX $170
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.