How much rates vary
Facilitymedian $295 · 10th to 90th $178 to $2,818Professionalmedian $380 · 10th to 90th $158 to $1,202
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 $229.09 Typical High $229.09 | Facility | None | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $1,445.44 | Professional | None (both parts) | $223.87 | $229.09 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $831.76 | Professional | 26 · Professional part | $95.50 | $97.72 | $831.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $158.49 | $575.44 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $257.04 Typical High $512.86 | Professional | 26 · Professional part | $64.57 | $257.04 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $295.12 Typical High $575.44 | Professional | TC · Technical part | $93.33 | $295.12 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $870.96 | Professional | None (both parts) | $218.78 | $251.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $302.00 | Professional | 26 · Professional part | $75.86 | $104.71 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $501.19 | Professional | TC · Technical part | $123.03 | $144.54 | $501.19 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $2,511.89 Typical High $3,467.37 | Facility | None | $177.83 | $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 $275.42 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $275.42 | $346.74 | $426.58 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $162.18 | $181.97 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $199.53 | $239.88 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $977.24 | Facility | None | $169.82 | $245.47 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $562.34 Typical High $1,698.24 | Professional | None (both parts) | $186.21 | $562.34 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $269.15 Typical High $489.78 | Professional | 26 · Professional part | $79.43 | $269.15 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $316.23 Typical High $1,348.96 | Professional | TC · Technical part | $89.13 | $316.23 | $1,348.96 |
Network Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $398.11 | Facility | None | $223.87 | $223.87 | $398.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $208.93 | $338.84 | $549.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $104.71 | $263.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $128.82 | $229.09 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $295.12 | Facility | None | $144.54 | $245.47 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $676.08 | Professional | None | $147.91 | $309.03 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $218.78 | $218.78 | $562.34 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $93.33 | $223.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $123.03 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Security Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $954.99 Typical High $1,122.02 | Professional | None (both parts) | $263.03 | $954.99 | $1,122.02 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $186.21 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $186.21 | $363.08 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $302.00 Typical High $776.25 | Professional | TC · Technical part | $128.82 | $302.00 | $776.25 |
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 $154.88 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $154.88 | $323.59 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $147.91 Typical High $295.12 | Professional | 26 · Professional part | $70.79 | $147.91 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $177.83 | $316.23 |
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 $112.20 Median $112.20 Typical High $724.44 | Professional | 52 · Reduced service | $112.20 | $112.20 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $288.40 | Professional | 53 · Discontinued | $45.71 | $45.71 | $288.40 |
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 $44.67 Median $56.23 Typical High $67.61 | Professional | 80 · Assistant surgeon | $44.67 | $56.23 | $67.61 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $56.23 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $44.67 | $56.23 | $67.61 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $56.23 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $56.23 | $67.61 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | AS · PA/NP assist | $38.90 | $48.98 | $58.88 |
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· 3rd of 51
$372
AK $447UT $97.72
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.