How much rates vary
Facilitymedian $166 · 10th to 90th $60 to $479Professionalmedian $129 · 10th to 90th $55 to $347
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 $79.43 Median $81.28 Typical High $199.53 | Facility | None | $79.43 | $81.28 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $501.19 | Professional | None (both parts) | $56.23 | $81.28 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $181.97 | Professional | 26 · Professional part | $15.14 | $21.38 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $60.26 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $52.48 | $208.93 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $13.80 | $54.95 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $38.02 | $151.36 | $316.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $17.78 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $17.78 | $47.86 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Facility | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $218.78 | Professional | None (both parts) | $57.54 | $83.18 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $60.26 | Professional | 26 · Professional part | $17.78 | $22.39 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $162.18 | Professional | TC · Technical part | $39.81 | $61.66 | $162.18 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $426.58 Typical High $588.84 | Facility | None | $60.26 | $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 $100.00 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $100.00 | $125.89 | $151.36 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $35.48 | $38.90 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $87.10 | $112.20 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $371.54 | Facility | None | $50.12 | $93.33 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $58.88 | $194.98 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $17.78 | $58.88 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $131.83 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Network Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $67.61 | $107.15 | $213.80 |
Prevea360 Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $107.15 | Facility | None | $46.77 | $60.26 | $107.15 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $234.42 | Professional | None | $60.26 | $120.23 | $234.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $169.82 | Professional | None (both parts) | $77.62 | $77.62 | $169.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $20.42 | $50.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $57.54 | $120.23 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $95.50 | $316.23 | $363.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $35.48 | $41.69 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $85.11 | $102.33 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $100.00 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $100.00 | $190.55 | $338.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $25.70 | $74.13 | $100.00 |
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 $52.48 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $52.48 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $33.11 Typical High $64.57 | Professional | 26 · Professional part | $15.85 | $33.11 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $79.43 | $158.49 |
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 $15.85 Median $19.95 Typical High $24.55 | Professional | 80 · Assistant surgeon | $15.85 | $19.95 | $24.55 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $19.95 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $15.85 | $19.95 | $24.55 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $19.95 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $19.95 | $24.55 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $17.78 Typical High $21.38 | Professional | AS · PA/NP assist | $14.13 | $17.78 | $21.38 |
Where Wisconsin sits
The same service costs 4.8 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
$132
AK $158UT $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.