How much rates vary
Facilitymedian $166 · 10th to 90th $33 to $295Professionalmedian $72 · 10th to 90th $30 to $195
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 $43.65 Median $44.67 Typical High $199.53 | Facility | None | $43.65 | $44.67 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $331.13 | Professional | None (both parts) | $30.20 | $44.67 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $109.65 | Professional | 26 · Professional part | $9.33 | $13.18 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $20.89 | $31.62 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $28.84 | $117.49 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $8.51 | $33.88 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $81.28 Typical High $165.96 | Professional | TC · Technical part | $20.42 | $81.28 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $25.70 Typical High $37.15 | Professional | None (both parts) | $11.22 | $25.70 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $138.04 | Facility | None | $81.28 | $91.20 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $123.03 | Professional | None (both parts) | $33.11 | $45.71 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $37.15 | Professional | 26 · Professional part | $12.02 | $13.80 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $21.88 | $33.11 | $87.10 |
DeanCare Setting Facility Modifier None Typical Low $33.11 Median $269.15 Typical High $363.08 | Facility | None | $33.11 | $269.15 | $363.08 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $363.08 | Facility | TC · Technical part | $234.42 | $288.40 | $363.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $54.95 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $54.95 | $69.18 | $83.18 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $21.88 | $24.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $50.12 | $60.26 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $177.83 Typical High $269.15 | Facility | None | $35.48 | $177.83 | $269.15 |
Medica Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $363.08 | Facility | TC · Technical part | $123.03 | $234.42 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $33.88 | $112.20 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $10.72 | $39.81 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $21.88 | $72.44 | $138.04 |
Network Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Network Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $22.39 | $75.86 | $120.23 |
Prevea360 Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $58.88 | Facility | None | $26.30 | $33.11 | $58.88 |
Quartz Setting Professional Modifier None Typical Low $33.11 Median $66.07 Typical High $131.83 | Professional | None | $33.11 | $66.07 | $131.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $95.50 | Professional | None (both parts) | $42.66 | $42.66 | $95.50 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $12.59 | $30.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $30.20 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Security Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $52.48 | $177.83 | $199.53 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $25.12 | Professional | 26 · Professional part | $16.98 | $22.39 | $25.12 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $44.67 | $54.95 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $52.48 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $52.48 | $100.00 | $194.98 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $16.22 | $43.65 | $56.23 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $38.02 | $100.00 | $138.04 |
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 $28.84 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $28.84 | $64.57 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $9.77 | $20.89 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $41.69 Typical High $83.18 | Professional | TC · Technical part | $19.95 | $41.69 | $83.18 |
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 $37.15 Median $45.71 Typical High $58.88 | Facility | 80 · Assistant surgeon | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $45.71 Typical High $58.88 | Facility | 81 · Minimal assistant surgeon | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $45.71 Typical High $58.88 | Facility | 82 · Assistant surgeon, no resident | $37.15 | $45.71 | $58.88 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $32.36 Median $39.81 Typical High $51.29 | Facility | AS · PA/NP assist | $32.36 | $39.81 | $51.29 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | 80 · Assistant surgeon | $8.71 | $10.96 | $13.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $8.71 | $10.96 | $13.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $10.96 | $13.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $9.77 Typical High $11.75 | Professional | AS · PA/NP assist | $7.59 | $9.77 | $11.75 |
Where Wisconsin sits
The same service costs 5.0 times more in Vermont than in New York. 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
$74.13
VT $110NY $21.88
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.