How much rates vary
Facilitymedian $155 · 10th to 90th $41 to $537Professionalmedian $87 · 10th to 90th $37 to $234
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 $53.70 Median $54.95 Typical High $199.53 | Facility | None | $53.70 | $54.95 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $398.11 | Professional | None (both parts) | $38.02 | $54.95 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $141.25 | Professional | 26 · Professional part | $11.75 | $16.60 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $25.12 | $38.90 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $35.48 | $134.90 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $10.72 | $43.65 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $25.12 | $97.72 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.13 Median $30.90 Typical High $45.71 | Professional | None (both parts) | $14.13 | $30.90 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $169.82 | Facility | None | $100.00 | $114.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $151.36 | Professional | None (both parts) | $39.81 | $56.23 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $17.78 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $104.71 | Professional | TC · Technical part | $25.70 | $39.81 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $489.78 Typical High $676.08 | Facility | None | $40.74 | $489.78 | $676.08 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $524.81 Typical High $676.08 | Facility | TC · Technical part | $426.58 | $524.81 | $676.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $67.61 | $87.10 | $104.71 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $28.18 | $31.62 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $60.26 | $72.44 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $204.17 Typical High $323.59 | Facility | None | $40.74 | $204.17 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $41.69 | $141.25 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $13.80 | $48.98 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $26.30 | $87.10 | $165.96 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Network Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $27.54 | $93.33 | $147.91 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $40.74 Typical High $72.44 | Facility | None | $32.36 | $40.74 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $79.43 Typical High $158.49 | Professional | None | $39.81 | $79.43 | $158.49 |
Quartz Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $117.49 | Professional | None (both parts) | $53.70 | $53.70 | $117.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $38.90 | Professional | 26 · Professional part | $15.85 | $15.85 | $38.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $37.15 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $64.57 | $218.78 | $251.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $28.18 | $32.36 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $53.70 | $66.07 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $66.07 | $107.15 | $234.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $19.95 | $56.23 | $85.11 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $46.77 | $100.00 | $165.96 |
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 $35.48 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $35.48 | $77.62 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $12.59 | $25.70 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $51.29 Typical High $102.33 | Professional | TC · Technical part | $23.99 | $51.29 | $102.33 |
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 $67.61 Median $85.11 Typical High $107.15 | Facility | 80 · Assistant surgeon | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $85.11 Typical High $107.15 | Facility | 81 · Minimal assistant surgeon | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $85.11 Typical High $107.15 | Facility | 82 · Assistant surgeon, no resident | $67.61 | $85.11 | $107.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $60.26 Median $74.13 Typical High $93.33 | Facility | AS · PA/NP assist | $60.26 | $74.13 | $93.33 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 80 · Assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | AS · PA/NP assist | $9.55 | $12.02 | $14.45 |
Where Wisconsin sits
The same service costs 4.3 times more in Minnesota 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· 4th of 51
$89.13
MN $115NY $26.92
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.