How much rates vary
Facilitymedian $1,047 · 10th to 90th $355 to $3,715Professionalmedian $1,000 · 10th to 90th $417 to $2,951
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 $199.53 Median $707.95 Typical High $812.83 | Facility | None | $199.53 | $707.95 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $4,466.84 | Professional | None (both parts) | $478.63 | $707.95 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $190.55 Typical High $1,348.96 | Professional | 26 · Professional part | $107.15 | $190.55 | $1,348.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $524.81 Typical High $537.03 | Professional | TC · Technical part | $346.74 | $524.81 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,548.82 Typical High $3,630.78 | Professional | None (both parts) | $380.19 | $1,548.82 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $407.38 Typical High $1,000.00 | Professional | 26 · Professional part | $100.00 | $407.38 | $1,000.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,122.02 Typical High $2,570.40 | Professional | TC · Technical part | $281.84 | $1,122.02 | $2,570.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $131.83 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $131.83 | $338.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,778.28 | Facility | None | $1,047.13 | $1,202.26 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $616.60 Typical High $2,041.74 | Professional | None (both parts) | $524.81 | $616.60 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $512.86 | Professional | 26 · Professional part | $123.03 | $165.96 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $1,513.56 | Professional | TC · Technical part | $389.05 | $457.09 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $426.58 Median $1,659.59 Typical High $2,290.87 | Facility | None | $426.58 | $1,659.59 | $2,290.87 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,479.11 Median $1,819.70 Typical High $2,290.87 | Facility | TC · Technical part | $1,479.11 | $1,819.70 | $2,290.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $1,071.52 | Professional | None (both parts) | $707.95 | $977.24 | $1,071.52 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $257.04 Typical High $288.40 | Professional | 26 · Professional part | $190.55 | $257.04 | $288.40 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $707.95 Typical High $794.33 | Professional | TC · Technical part | $524.81 | $707.95 | $794.33 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $2,187.76 Typical High $6,918.31 | Facility | None | $426.58 | $2,187.76 | $6,918.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,548.82 Typical High $2,570.40 | Professional | None (both parts) | $512.86 | $1,548.82 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $457.09 Typical High $660.69 | Professional | 26 · Professional part | $128.82 | $457.09 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,230.27 Typical High $2,041.74 | Professional | TC · Technical part | $371.54 | $1,230.27 | $2,041.74 |
Network Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,023.29 | Facility | None | $602.56 | $602.56 | $1,023.29 |
Network Health Setting Professional Modifier None (both parts) Typical Low $575.44 Median $891.25 Typical High $1,412.54 | Professional | None (both parts) | $575.44 | $891.25 | $1,412.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $416.87 | Professional | 26 · Professional part | $147.91 | $169.82 | $416.87 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $724.44 Typical High $1,174.90 | Professional | TC · Technical part | $426.58 | $724.44 | $1,174.90 |
Prevea360 Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $758.58 | Facility | None | $354.81 | $741.31 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $870.96 Typical High $1,698.24 | Professional | None | $416.87 | $870.96 | $1,698.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $1,318.26 | Professional | None (both parts) | $549.54 | $549.54 | $1,318.26 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $363.08 | Professional | 26 · Professional part | $147.91 | $147.91 | $363.08 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $954.99 | Professional | TC · Technical part | $407.38 | $407.38 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $2,454.71 Typical High $3,235.94 | Professional | None (both parts) | $1,202.26 | $2,454.71 | $3,235.94 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $602.56 | Professional | 26 · Professional part | $363.08 | $426.58 | $602.56 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $977.24 Typical High $2,238.72 | Professional | TC · Technical part | $758.58 | $977.24 | $2,238.72 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,071.52 Typical High $3,090.30 | Professional | None (both parts) | $602.56 | $1,071.52 | $3,090.30 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $501.19 Typical High $645.65 | Professional | 26 · Professional part | $186.21 | $501.19 | $645.65 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $954.99 Typical High $2,290.87 | Professional | None (both parts) | $457.09 | $954.99 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $251.19 Typical High $537.03 | Professional | 26 · Professional part | $117.49 | $251.19 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $691.83 Typical High $1,412.54 | Professional | TC · Technical part | $323.59 | $691.83 | $1,412.54 |
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 $234.42 Median $295.12 Typical High $371.54 | Facility | 80 · Assistant surgeon | $234.42 | $295.12 | $371.54 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $295.12 Typical High $371.54 | Facility | 81 · Minimal assistant surgeon | $234.42 | $295.12 | $371.54 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $295.12 Typical High $371.54 | Facility | 82 · Assistant surgeon, no resident | $234.42 | $295.12 | $371.54 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $208.93 Median $257.04 Typical High $323.59 | Facility | AS · PA/NP assist | $208.93 | $257.04 | $323.59 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $154.88 Typical High $173.78 | Professional | 80 · Assistant surgeon | $114.82 | $154.88 | $173.78 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $114.82 Median $154.88 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $114.82 | $154.88 | $173.78 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $114.82 Median $154.88 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $114.82 | $154.88 | $173.78 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $134.90 Typical High $151.36 | Professional | AS · PA/NP assist | $100.00 | $134.90 | $151.36 |
Where Wisconsin sits
The same service costs 5.0 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
$1,000
AK $1,288UT $257
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.