How much rates vary
Facilitymedian $537 · 10th to 90th $209 to $1,738Professionalmedian $617 · 10th to 90th $245 to $2,754
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 $446.68 Typical High $446.68 | Facility | None | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $4,265.80 | Professional | None (both parts) | $331.13 | $446.68 | $4,265.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $158.49 Typical High $933.25 | Professional | 26 · Professional part | $107.15 | $158.49 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $295.12 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $831.76 Typical High $2,089.30 | Professional | None (both parts) | $199.53 | $831.76 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $269.15 Typical High $660.69 | Professional | 26 · Professional part | $67.61 | $269.15 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $549.54 Typical High $1,621.81 | Professional | TC · Technical part | $128.82 | $549.54 | $1,621.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $87.10 | $154.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $912.01 | Facility | None | $537.03 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $288.40 | $346.74 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $338.84 | Professional | 26 · Professional part | $83.18 | $112.20 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $758.58 | Professional | TC · Technical part | $186.21 | $239.88 | $758.58 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $1,737.80 | Facility | None | $234.42 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $363.08 | $501.19 | $562.34 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $173.78 | $190.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $323.59 | $363.08 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $524.81 Typical High $2,570.40 | Facility | None | $218.78 | $524.81 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $954.99 Typical High $2,818.38 | Professional | None (both parts) | $398.11 | $954.99 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $295.12 Typical High $575.44 | Professional | 26 · Professional part | $87.10 | $295.12 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $741.31 Typical High $2,454.71 | Professional | TC · Technical part | $275.42 | $741.31 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $758.58 | Facility | None | $323.59 | $323.59 | $758.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $812.83 Typical High $870.96 | Professional | None (both parts) | $302.00 | $812.83 | $870.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $100.00 | $144.54 | $275.42 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $616.60 Typical High $724.44 | Professional | TC · Technical part | $204.17 | $616.60 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $208.93 Median $436.52 Typical High $630.96 | Facility | None | $208.93 | $436.52 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $1,258.93 | Professional | None | $213.80 | $446.68 | $1,258.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $776.25 | Professional | None (both parts) | $288.40 | $288.40 | $776.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $100.00 | $245.47 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $186.21 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,258.93 | $1,698.24 | $2,137.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $398.11 Typical High $478.63 | Professional | 26 · Professional part | $302.00 | $398.11 | $478.63 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,513.56 Typical High $1,778.28 | Professional | TC · Technical part | $741.31 | $1,513.56 | $1,778.28 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,548.82 | Professional | None (both parts) | $346.74 | $630.96 | $1,548.82 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $123.03 | $346.74 | $524.81 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $602.56 Typical High $1,380.38 | Professional | None (both parts) | $239.88 | $602.56 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $79.43 | $181.97 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $1,174.90 | Professional | TC · Technical part | $158.49 | $436.52 | $1,174.90 |
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 $223.87 Median $223.87 Typical High $2,137.96 | Professional | 52 · Reduced service | $223.87 | $223.87 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $851.14 | Professional | 53 · Discontinued | $91.20 | $91.20 | $851.14 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 80 · Assistant surgeon | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | AS · PA/NP assist | $51.29 | $69.18 | $77.62 |
Where Wisconsin sits
The same service costs 6.6 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· 4th of 51
$603
AK $813UT $123
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.