How much rates vary
Facilitymedian $191 · 10th to 90th $56 to $347Professionalmedian $112 · 10th to 90th $46 to $302
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 $70.79 Median $70.79 Typical High $199.53 | Facility | None | $70.79 | $70.79 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $70.79 Typical High $371.54 | Professional | None (both parts) | $45.71 | $70.79 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $138.04 | Professional | 26 · Professional part | $11.48 | $16.22 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $54.95 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $181.97 Typical High $380.19 | Professional | None (both parts) | $45.71 | $181.97 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $41.69 Typical High $85.11 | Professional | 26 · Professional part | $10.47 | $41.69 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $34.67 | $134.90 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.49 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $13.49 | $44.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $194.98 | Professional | None (both parts) | $48.98 | $72.44 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.98 Typical High $45.71 | Professional | 26 · Professional part | $13.18 | $16.98 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $151.36 | Professional | TC · Technical part | $36.31 | $57.54 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $52.48 Median $263.03 Typical High $354.81 | Facility | None | $52.48 | $263.03 | $354.81 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | TC · Technical part | $223.87 | $281.84 | $354.81 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $87.10 | $109.65 | $131.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $26.92 | $30.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $87.10 | $104.71 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $389.05 | Facility | None | $93.33 | $213.80 | $389.05 |
Medica Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $524.81 | Facility | TC · Technical part | $263.03 | $331.13 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $51.29 | $181.97 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $13.49 | $48.98 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $37.15 | $120.23 | $234.42 |
Network Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $60.26 | $91.20 | $186.21 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | None | $40.74 | $52.48 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $208.93 | Professional | None | $53.70 | $107.15 | $208.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $69.18 | $69.18 | $147.91 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $38.02 | Professional | 26 · Professional part | $15.49 | $15.49 | $38.02 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $52.48 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $85.11 | $245.47 | $316.23 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $27.54 | $31.62 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $75.86 | $93.33 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $87.10 | $141.25 | $302.00 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $19.95 | $56.23 | $83.18 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $134.90 | $234.42 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $45.71 | $95.50 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $24.55 Typical High $48.98 | Professional | 26 · Professional part | $12.02 | $24.55 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $33.88 | $70.79 | $141.25 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $36.31 Median $44.67 Typical High $56.23 | Facility | 80 · Assistant surgeon | $36.31 | $44.67 | $56.23 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $44.67 Typical High $56.23 | Facility | 81 · Minimal assistant surgeon | $36.31 | $44.67 | $56.23 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $44.67 Typical High $56.23 | Facility | 82 · Assistant surgeon, no resident | $36.31 | $44.67 | $56.23 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $31.62 Median $38.90 Typical High $48.98 | Facility | AS · PA/NP assist | $31.62 | $38.90 | $48.98 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 80 · Assistant surgeon | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $17.78 | $21.38 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | AS · PA/NP assist | $12.30 | $15.49 | $18.62 |
Where Wisconsin sits
The same service costs 11.7 times more in Vermont 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· 5th of 51
$115
VT $389UT $33.11
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.