How much rates vary
Facilitymedian $646 · 10th to 90th $288 to $2,455Professionalmedian $851 · 10th to 90th $347 to $3,388
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 $616.60 Typical High $616.60 | Facility | None | $199.53 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $616.60 Typical High $5,011.87 | Professional | None (both parts) | $501.19 | $616.60 | $5,011.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $1,905.46 | Professional | 26 · Professional part | $141.25 | $186.21 | $1,905.46 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $354.81 | $436.52 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,148.15 Typical High $2,630.27 | Professional | None (both parts) | $275.42 | $1,148.15 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $323.59 Typical High $794.33 | Professional | 26 · Professional part | $79.43 | $323.59 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $794.33 Typical High $1,995.26 | Professional | TC · Technical part | $190.55 | $794.33 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,258.93 | Facility | None | $741.31 | $851.14 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $1,548.82 | Professional | None (both parts) | $389.05 | $467.74 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $398.11 | Professional | 26 · Professional part | $97.72 | $131.83 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $1,096.48 | Professional | TC · Technical part | $275.42 | $338.84 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $323.59 Median $1,778.28 Typical High $2,511.89 | Facility | None | $323.59 | $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 $501.19 Median $691.83 Typical High $758.58 | Professional | None (both parts) | $501.19 | $691.83 | $758.58 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $147.91 | $204.17 | $229.09 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $478.63 | $537.03 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $645.65 Typical High $2,630.27 | Facility | None | $302.00 | $645.65 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,318.26 Typical High $3,388.44 | Professional | None (both parts) | $512.86 | $1,318.26 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $346.74 Typical High $660.69 | Professional | 26 · Professional part | $102.33 | $346.74 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,047.13 Typical High $2,951.21 | Professional | TC · Technical part | $389.05 | $1,047.13 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $954.99 | Facility | None | $446.68 | $446.68 | $954.99 |
Network Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $426.58 | $1,071.52 | $1,122.02 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $173.78 | $331.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $912.01 Typical High $933.25 | Professional | TC · Technical part | $302.00 | $912.01 | $933.25 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $537.03 Typical High $645.65 | Facility | None | $288.40 | $537.03 | $645.65 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $1,548.82 | Professional | None | $295.12 | $616.60 | $1,548.82 |
Quartz Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $389.05 | $1,071.52 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $117.49 | $288.40 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $758.58 | Professional | TC · Technical part | $275.42 | $275.42 | $758.58 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,187.76 Typical High $2,691.53 | Professional | None (both parts) | $1,737.80 | $2,187.76 | $2,691.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $363.08 | $478.63 | $562.34 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,905.46 Typical High $2,238.72 | Professional | TC · Technical part | $1,096.48 | $1,905.46 | $2,238.72 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,621.81 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,621.81 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $380.19 Typical High $512.86 | Professional | 26 · Professional part | $141.25 | $380.19 | $512.86 |
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 $331.13 Median $812.83 Typical High $1,737.80 | Professional | None (both parts) | $331.13 | $812.83 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $218.78 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $575.44 Typical High $1,318.26 | Professional | TC · Technical part | $234.42 | $575.44 | $1,318.26 |
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 $309.03 Median $309.03 Typical High $2,511.89 | Professional | 52 · Reduced service | $309.03 | $309.03 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $1,000.00 | Professional | 53 · Discontinued | $123.03 | $123.03 | $1,000.00 |
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 $81.28 Median $109.65 Typical High $123.03 | Professional | 80 · Assistant surgeon | $81.28 | $109.65 | $123.03 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $109.65 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $81.28 | $109.65 | $123.03 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $109.65 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $109.65 | $123.03 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $95.50 Typical High $107.15 | Professional | AS · PA/NP assist | $70.79 | $95.50 | $107.15 |
Where Wisconsin sits
The same service costs 5.6 times more in Wyoming 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· 3rd of 51
$832
WY $1,072TX $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.