How much rates vary
Facilitymedian $631 · 10th to 90th $245 to $1,820Professionalmedian $692 · 10th to 90th $288 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 $524.81 Typical High $524.81 | Facility | None | $199.53 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $4,466.84 | Professional | None (both parts) | $416.87 | $524.81 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $912.01 | Professional | 26 · Professional part | $107.15 | $158.49 | $912.01 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $977.24 Typical High $2,344.23 | Professional | None (both parts) | $229.09 | $977.24 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $269.15 Typical High $676.08 | Professional | 26 · Professional part | $67.61 | $269.15 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $691.83 Typical High $1,862.09 | Professional | TC · Technical part | $162.18 | $691.83 | $1,862.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $87.10 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $87.10 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,071.52 | Facility | None | $630.96 | $724.44 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $1,348.96 | Professional | None (both parts) | $331.13 | $407.38 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $338.84 | Professional | 26 · Professional part | $83.18 | $112.20 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $933.25 | Professional | TC · Technical part | $234.42 | $295.12 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $263.03 Median $1,230.27 Typical High $1,737.80 | Facility | None | $263.03 | $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 $426.58 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $426.58 | $575.44 | $645.65 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $173.78 | $194.98 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $407.38 | $457.09 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $616.60 Typical High $3,890.45 | Facility | None | $257.04 | $616.60 | $3,890.45 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,122.02 Typical High $3,467.37 | Professional | None (both parts) | $457.09 | $1,122.02 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $302.00 Typical High $575.44 | Professional | 26 · Professional part | $87.10 | $302.00 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $912.01 Typical High $2,454.71 | Professional | TC · Technical part | $354.81 | $912.01 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $870.96 | Facility | None | $380.19 | $380.19 | $870.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $954.99 Typical High $977.24 | Professional | None (both parts) | $363.08 | $954.99 | $977.24 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $144.54 | $275.42 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $691.83 Typical High $831.76 | Professional | TC · Technical part | $263.03 | $691.83 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $630.96 | Facility | None | $245.47 | $457.09 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $1,122.02 | Professional | None | $251.19 | $524.81 | $1,122.02 |
Quartz Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $912.01 | Professional | None (both parts) | $331.13 | $331.13 | $912.01 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $100.00 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $234.42 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,862.09 Typical High $2,454.71 | Professional | None (both parts) | $1,479.11 | $1,862.09 | $2,454.71 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $478.63 | Professional | 26 · Professional part | $302.00 | $407.38 | $478.63 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,778.28 Typical High $2,041.74 | Professional | TC · Technical part | $933.25 | $1,778.28 | $2,041.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $407.38 Median $630.96 Typical High $1,819.70 | Professional | None (both parts) | $407.38 | $630.96 | $1,819.70 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $346.74 Typical High $537.03 | Professional | 26 · Professional part | $123.03 | $346.74 | $537.03 |
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 $281.84 Median $691.83 Typical High $1,318.26 | Professional | None (both parts) | $281.84 | $691.83 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $77.62 | $181.97 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $512.86 Typical High $1,122.02 | Professional | TC · Technical part | $199.53 | $512.86 | $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 $263.03 Median $263.03 Typical High $2,238.72 | Professional | 52 · Reduced service | $263.03 | $263.03 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $891.25 | Professional | 53 · Discontinued | $104.71 | $104.71 | $891.25 |
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 $67.61 Median $93.33 Typical High $104.71 | Professional | 80 · Assistant surgeon | $67.61 | $93.33 | $104.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $93.33 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $67.61 | $93.33 | $104.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $93.33 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $93.33 | $104.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | AS · PA/NP assist | $60.26 | $81.28 | $91.20 |
Where Wisconsin sits
The same service costs 6.0 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
$692
WY $912UT $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.