How much rates vary
Facilitymedian $525 · 10th to 90th $251 to $1,660Professionalmedian $813 · 10th to 90th $355 to $2,884
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 $489.78 Typical High $489.78 | Facility | None | $199.53 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $489.78 Typical High $3,467.37 | Professional | None (both parts) | $478.63 | $489.78 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $1,230.27 | Professional | 26 · Professional part | $91.20 | $158.49 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $281.84 | $338.84 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,202.26 Typical High $2,884.03 | Professional | None (both parts) | $295.12 | $1,202.26 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $331.13 Typical High $812.83 | Professional | 26 · Professional part | $83.18 | $331.13 | $812.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $870.96 Typical High $2,089.30 | Professional | TC · Technical part | $213.80 | $870.96 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,412.54 | Facility | None | $831.76 | $933.25 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $1,737.80 | Professional | None (both parts) | $407.38 | $478.63 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $416.87 | Professional | 26 · Professional part | $102.33 | $134.90 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $1,258.93 | Professional | TC · Technical part | $288.40 | $338.84 | $1,258.93 |
DeanCare Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $1,698.24 | Facility | None | $295.12 | $1,230.27 | $1,698.24 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,096.48 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $549.54 Median $758.58 Typical High $851.14 | Professional | None (both parts) | $549.54 | $758.58 | $851.14 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $213.80 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $213.80 | $234.42 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $549.54 | $602.56 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,511.89 | Facility | None | $251.19 | $501.19 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,288.25 Typical High $2,884.03 | Professional | None (both parts) | $416.87 | $1,288.25 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $363.08 Typical High $537.03 | Professional | 26 · Professional part | $107.15 | $363.08 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $1,000.00 Typical High $2,398.83 | Professional | TC · Technical part | $316.23 | $1,000.00 | $2,398.83 |
Network Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $741.31 | Facility | None | $478.63 | $478.63 | $741.31 |
Network Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $457.09 | $645.65 | $1,148.15 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $141.25 | $338.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $891.25 | Professional | TC · Technical part | $331.13 | $501.19 | $891.25 |
Prevea360 Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $537.03 | Facility | None | $251.19 | $501.19 | $537.03 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $676.08 Typical High $1,348.96 | Professional | None | $331.13 | $676.08 | $1,348.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Professional | None (both parts) | $436.52 | $436.52 | $1,071.52 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $123.03 | $295.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $776.25 | Professional | TC · Technical part | $309.03 | $309.03 | $776.25 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,621.81 Typical High $2,089.30 | Professional | None (both parts) | $1,071.52 | $1,621.81 | $2,089.30 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $302.00 Typical High $489.78 | Professional | 26 · Professional part | $275.42 | $302.00 | $489.78 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,621.81 | Professional | TC · Technical part | $645.65 | $776.25 | $1,621.81 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $338.84 Typical High $524.81 | Professional | 26 · Professional part | $147.91 | $338.84 | $524.81 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $758.58 Typical High $1,584.89 | Professional | None (both parts) | $363.08 | $758.58 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $204.17 Typical High $436.52 | Professional | 26 · Professional part | $95.50 | $204.17 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $1,148.15 | Professional | TC · Technical part | $263.03 | $562.34 | $1,148.15 |
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 $245.47 Median $245.47 Typical High $1,737.80 | Professional | 52 · Reduced service | $245.47 | $245.47 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $707.95 | Professional | 53 · Discontinued | $100.00 | $100.00 | $707.95 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 80 · Assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 81 · Minimal assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $190.55 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $120.23 Typical High $134.90 | Professional | 80 · Assistant surgeon | $89.13 | $120.23 | $134.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $120.23 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $89.13 | $120.23 | $134.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $120.23 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $120.23 | $134.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $107.15 Typical High $117.49 | Professional | AS · PA/NP assist | $77.62 | $107.15 | $117.49 |
Where Wisconsin sits
The same service costs 6.0 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
$794
AK $1,000UT $166
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.