How much rates vary
Facilitymedian $191 · 10th to 90th $68 to $479Professionalmedian $145 · 10th to 90th $58 to $389
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 $91.20 Median $91.20 Typical High $199.53 | Facility | None | $91.20 | $91.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $91.20 Typical High $524.81 | Professional | None (both parts) | $63.10 | $91.20 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $154.88 | Professional | 26 · Professional part | $14.45 | $19.95 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $70.79 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $57.54 | $229.09 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $51.29 Typical High $104.71 | Professional | 26 · Professional part | $12.88 | $51.29 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $44.67 | $165.96 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.98 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $16.98 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $281.84 | Facility | None | $165.96 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $61.66 | $93.33 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $56.23 | Professional | 26 · Professional part | $16.98 | $20.89 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $190.55 | Professional | TC · Technical part | $46.77 | $74.13 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $426.58 Typical High $588.84 | Facility | None | $67.61 | $426.58 | $588.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $457.09 Typical High $588.84 | Facility | TC · Technical part | $371.54 | $457.09 | $588.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $112.20 | $141.25 | $169.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $33.11 | $37.15 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $104.71 | $131.83 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $269.15 | Facility | None | $51.29 | $72.44 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $63.10 | $199.53 | $380.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $16.22 | $54.95 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $45.71 | $154.88 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $75.86 | $112.20 | $234.42 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $117.49 | Facility | None | $51.29 | $67.61 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $69.18 Median $138.04 Typical High $263.03 | Professional | None | $69.18 | $138.04 | $263.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $87.10 | $87.10 | $181.97 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $19.05 | $45.71 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $67.61 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $100.00 | $346.74 | $398.11 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $31.62 | $47.86 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $79.43 | $169.82 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $100.00 Median $181.97 Typical High $389.05 | Professional | None (both parts) | $100.00 | $181.97 | $389.05 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $24.55 | $70.79 | $100.00 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $147.91 | $302.00 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $56.23 | $120.23 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $14.45 | $30.20 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $42.66 | $89.13 | $177.83 |
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 $60.26 Median $74.13 Typical High $93.33 | Facility | 80 · Assistant surgeon | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | 81 · Minimal assistant surgeon | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | 82 · Assistant surgeon, no resident | $60.26 | $74.13 | $93.33 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $52.48 Median $64.57 Typical High $81.28 | Facility | AS · PA/NP assist | $52.48 | $64.57 | $81.28 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 80 · Assistant surgeon | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $19.50 Typical High $23.44 | Professional | AS · PA/NP assist | $15.49 | $19.50 | $23.44 |
Where Wisconsin sits
The same service costs 3.5 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· 3rd of 51
$145
AK $162FL $46.77
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.