How much rates vary
Facilitymedian $200 · 10th to 90th $123 to $562Professionalmedian $288 · 10th to 90th $123 to $912
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $165.96 Median $165.96 Typical High $199.53 | Facility | None | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $1,905.46 | Professional | None (both parts) | $165.96 | $165.96 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $794.33 | Professional | 26 · Professional part | $60.26 | $60.26 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $100.00 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $107.15 | $436.52 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $154.88 Typical High $316.23 | Professional | 26 · Professional part | $38.90 | $154.88 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $69.18 | $245.47 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Facility | None | $302.00 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $588.84 | Professional | None (both parts) | $158.49 | $181.97 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $190.55 | Professional | 26 · Professional part | $47.86 | $64.57 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $117.49 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $295.12 | Facility | None | $102.33 | $165.96 | $295.12 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $204.17 | $257.04 | $309.03 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $100.00 | $109.65 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $165.96 | $199.53 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $1,230.27 | Facility | None | $123.03 | $194.98 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $457.09 Typical High $1,949.84 | Professional | None (both parts) | $131.83 | $457.09 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $169.82 Typical High $549.54 | Professional | 26 · Professional part | $50.12 | $169.82 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $269.15 Typical High $1,737.80 | Professional | TC · Technical part | $77.62 | $269.15 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $208.93 | Facility | None | $165.96 | $165.96 | $208.93 |
Network Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $154.88 | $190.55 | $363.08 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $69.18 | $158.49 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $123.03 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $295.12 | Facility | None | $102.33 | $165.96 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $281.84 Typical High $489.78 | Professional | None | $134.90 | $281.84 | $489.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $158.49 | $158.49 | $426.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $57.54 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $102.33 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Security Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $229.09 | $676.08 | $831.76 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $245.47 | Professional | 26 · Professional part | $93.33 | $138.04 | $245.47 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $117.49 | $346.74 | $691.83 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $120.23 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $117.49 | $257.04 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $93.33 Typical High $186.21 | Professional | 26 · Professional part | $43.65 | $93.33 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $70.79 | $154.88 | $281.84 |
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 $83.18 Median $83.18 Typical High $954.99 | Professional | 52 · Reduced service | $83.18 | $83.18 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $380.19 | Professional | 53 · Discontinued | $33.11 | $33.11 | $380.19 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 80 · Assistant surgeon | $1,659.59 | $2,089.30 | $2,630.27 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 81 · Minimal assistant surgeon | $1,659.59 | $2,089.30 | $2,630.27 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 82 · Assistant surgeon, no resident | $1,659.59 | $2,089.30 | $2,630.27 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $1,479.11 Median $1,819.70 Typical High $2,290.87 | Facility | AS · PA/NP assist | $1,479.11 | $1,819.70 | $2,290.87 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $40.74 Typical High $50.12 | Professional | 80 · Assistant surgeon | $32.36 | $40.74 | $50.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $40.74 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $32.36 | $40.74 | $50.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $40.74 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $40.74 | $50.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $36.31 Typical High $43.65 | Professional | AS · PA/NP assist | $28.84 | $36.31 | $43.65 |
Where Wisconsin sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$288
AK $339FL $85.11
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.