How much rates vary
Facilitymedian $155 · 10th to 90th $55 to $437Professionalmedian $120 · 10th to 90th $51 to $324
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 $74.13 Median $74.13 Typical High $199.53 | Facility | None | $74.13 | $74.13 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $436.52 | Professional | None (both parts) | $53.70 | $74.13 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.91 Typical High $165.96 | Professional | 26 · Professional part | $15.85 | $22.91 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $51.29 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $47.86 | $194.98 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $14.79 | $60.26 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $33.11 | $125.89 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.50 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $19.50 | $41.69 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $229.09 | Facility | None | $134.90 | $154.88 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $79.43 Typical High $204.17 | Professional | None (both parts) | $53.70 | $79.43 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $70.79 | Professional | 26 · Professional part | $18.20 | $24.55 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $53.70 Typical High $141.25 | Professional | TC · Technical part | $36.31 | $53.70 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $54.95 Median $398.11 Typical High $537.03 | Facility | None | $54.95 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $346.74 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $91.20 | $117.49 | $141.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $38.90 | $42.66 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $81.28 | $97.72 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $58.88 Typical High $269.15 | Facility | None | $43.65 | $58.88 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $56.23 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $56.23 | $177.83 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $19.05 | $69.18 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $37.15 | $120.23 | $251.19 |
Network Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Facility | None | $74.13 | $74.13 | $100.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $69.18 | $77.62 | $199.53 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $25.12 | $61.66 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $46.77 | $53.70 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $43.65 Median $54.95 Typical High $97.72 | Facility | None | $43.65 | $54.95 | $97.72 |
Quartz Setting Professional Modifier None Typical Low $54.95 Median $112.20 Typical High $218.78 | Professional | None | $54.95 | $112.20 | $218.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $158.49 | Professional | None (both parts) | $72.44 | $72.44 | $158.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $53.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $50.12 | $104.71 |
Security Health Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $104.71 | $281.84 | $338.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $57.54 | $87.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $79.43 | $194.98 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $87.10 | $144.54 | $309.03 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $27.54 | $79.43 | $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 $47.86 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $47.86 | $102.33 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $16.60 | $34.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $32.36 | $69.18 | $138.04 |
10 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $218.78 | Professional | 52 · Reduced service | $37.15 | $37.15 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $89.13 | Professional | 53 · Discontinued | $15.14 | $15.14 | $89.13 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $75.86 | Facility | AS · PA/NP assist | $47.86 | $60.26 | $75.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $18.62 Typical High $22.39 | Professional | 80 · Assistant surgeon | $14.79 | $18.62 | $22.39 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $18.62 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $14.79 | $18.62 | $22.39 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $18.62 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $18.62 | $22.39 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $16.22 Typical High $19.50 | Professional | AS · PA/NP assist | $12.88 | $16.22 | $19.50 |
Where Wisconsin sits
The same service costs 4.5 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
$123
AK $148UT $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.