How much rates vary
Facilitymedian $209 · 10th to 90th $126 to $2,818Professionalmedian $282 · 10th to 90th $115 to $933
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 $158.49 Median $158.49 Typical High $199.53 | Facility | None | $158.49 | $158.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $1,479.11 | Professional | None (both parts) | $158.49 | $158.49 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $758.58 | Professional | 26 · Professional part | $64.57 | $64.57 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $416.87 Typical High $851.14 | Professional | None (both parts) | $109.65 | $416.87 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $177.83 Typical High $346.74 | Professional | 26 · Professional part | $43.65 | $177.83 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $70.79 | $239.88 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $489.78 | Facility | None | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $602.56 | Professional | None (both parts) | $151.36 | $173.78 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $199.53 | Professional | 26 · Professional part | $51.29 | $69.18 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $363.08 | Professional | TC · Technical part | $91.20 | $104.71 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $2,511.89 Typical High $3,467.37 | Facility | None | $125.89 | $2,511.89 | $3,467.37 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $2,238.72 Median $2,818.38 Typical High $3,548.13 | Facility | TC · Technical part | $2,238.72 | $2,818.38 | $3,548.13 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $194.98 | $251.19 | $295.12 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $107.15 | $120.23 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $147.91 | $177.83 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $501.19 | Facility | None | $117.49 | $181.97 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $436.52 Typical High $1,174.90 | Professional | None (both parts) | $134.90 | $436.52 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $186.21 Typical High $346.74 | Professional | 26 · Professional part | $54.95 | $186.21 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $275.42 Typical High $954.99 | Professional | TC · Technical part | $77.62 | $275.42 | $954.99 |
Network Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $251.19 | Facility | None | $173.78 | $173.78 | $251.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $162.18 | $213.80 | $371.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $181.97 | Professional | 26 · Professional part | $64.57 | $72.44 | $181.97 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $97.72 | $141.25 | $295.12 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $177.83 Typical High $208.93 | Facility | None | $104.71 | $177.83 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $467.74 | Professional | None | $114.82 | $239.88 | $467.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $151.36 | $151.36 | $389.05 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $61.66 | $154.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $91.20 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $204.17 | $676.08 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $128.82 | $251.19 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $457.09 | Professional | TC · Technical part | $93.33 | $131.83 | $457.09 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $123.03 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $102.33 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $275.42 | Professional | TC · Technical part | $69.18 | $147.91 | $275.42 |
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 $79.43 Median $79.43 Typical High $741.31 | Professional | 52 · Reduced service | $79.43 | $79.43 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $295.12 | Professional | 53 · Discontinued | $31.62 | $31.62 | $295.12 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 80 · Assistant surgeon | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 81 · Minimal assistant surgeon | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $363.08 Median $446.68 Typical High $562.34 | Facility | 82 · Assistant surgeon, no resident | $363.08 | $446.68 | $562.34 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $316.23 Median $389.05 Typical High $501.19 | Facility | AS · PA/NP assist | $316.23 | $389.05 | $501.19 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $39.81 Typical High $47.86 | Professional | 80 · Assistant surgeon | $31.62 | $39.81 | $47.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $39.81 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $31.62 | $39.81 | $47.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $39.81 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $39.81 | $47.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $34.67 Typical High $41.69 | Professional | AS · PA/NP assist | $27.54 | $34.67 | $41.69 |
Where Wisconsin sits
The same service costs 4.6 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· 2nd of 51
$282
AK $347UT $75.86
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.