How much rates vary
Facilitymedian $741 · 10th to 90th $324 to $2,089Professionalmedian $933 · 10th to 90th $372 to $3,388
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 $691.83 Typical High $691.83 | Facility | None | $199.53 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $691.83 Typical High $4,897.79 | Professional | None (both parts) | $501.19 | $691.83 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $186.21 Typical High $1,621.81 | Professional | 26 · Professional part | $141.25 | $186.21 | $1,621.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $354.81 | $512.86 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,230.27 Typical High $2,951.21 | Professional | None (both parts) | $309.03 | $1,230.27 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $323.59 Typical High $794.33 | Professional | 26 · Professional part | $79.43 | $323.59 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $954.99 Typical High $2,290.87 | Professional | TC · Technical part | $223.87 | $954.99 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,412.54 | Facility | None | $831.76 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $1,778.28 | Professional | None (both parts) | $436.52 | $524.81 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $398.11 | Professional | 26 · Professional part | $97.72 | $131.83 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $1,288.25 | Professional | TC · Technical part | $323.59 | $407.38 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $1,778.28 Typical High $2,511.89 | Facility | None | $363.08 | $1,778.28 | $2,511.89 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Facility | TC · Technical part | $1,621.81 | $1,995.26 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $776.25 Typical High $851.14 | Professional | None (both parts) | $562.34 | $776.25 | $851.14 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $204.17 Typical High $229.09 | Professional | 26 · Professional part | $147.91 | $204.17 | $229.09 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $416.87 | $562.34 | $676.08 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $2,951.21 | Facility | None | $338.84 | $676.08 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,479.11 Typical High $3,388.44 | Professional | None (both parts) | $575.44 | $1,479.11 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $354.81 Typical High $660.69 | Professional | 26 · Professional part | $102.33 | $354.81 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $1,230.27 Typical High $2,951.21 | Professional | TC · Technical part | $446.68 | $1,230.27 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,047.13 | Facility | None | $512.86 | $512.86 | $1,047.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,174.90 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $1,174.90 | $1,258.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $169.82 Typical High $331.13 | Professional | 26 · Professional part | $117.49 | $169.82 | $331.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $933.25 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $933.25 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $741.31 | Facility | None | $323.59 | $602.56 | $741.31 |
Quartz Setting Professional Modifier None Typical Low $331.13 Median $691.83 Typical High $1,348.96 | Professional | None | $331.13 | $691.83 | $1,348.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $436.52 | $436.52 | $1,148.15 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $117.49 | $117.49 | $288.40 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $891.25 | Professional | TC · Technical part | $323.59 | $323.59 | $891.25 |
Security Health Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,570.40 Typical High $2,951.21 | Professional | None (both parts) | $1,949.84 | $2,570.40 | $2,951.21 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $363.08 | $478.63 | $562.34 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $2,137.96 Typical High $2,511.89 | Professional | TC · Technical part | $1,288.25 | $2,137.96 | $2,511.89 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $537.03 Typical High $630.96 | Professional | 26 · Professional part | $512.86 | $537.03 | $630.96 |
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 $371.54 Median $912.01 Typical High $1,995.26 | Professional | None (both parts) | $371.54 | $912.01 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $93.33 | $218.78 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $691.83 Typical High $1,412.54 | Professional | TC · Technical part | $275.42 | $691.83 | $1,412.54 |
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 $346.74 Median $346.74 Typical High $2,454.71 | Professional | 52 · Reduced service | $346.74 | $346.74 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $977.24 | Professional | 53 · Discontinued | $138.04 | $138.04 | $977.24 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 80 · Assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 81 · Minimal assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 82 · Assistant surgeon, no resident | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | AS · PA/NP assist | $223.87 | $281.84 | $354.81 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 80 · Assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | AS · PA/NP assist | $79.43 | $107.15 | $120.23 |
Where Wisconsin sits
The same service costs 5.6 times more in Wyoming 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
$912
WY $1,230UT $219
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.