How much rates vary
Facilitymedian $1,072 · 10th to 90th $363 to $3,162Professionalmedian $1,072 · 10th to 90th $427 to $4,266
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 $776.25 Typical High $891.25 | Facility | None | $199.53 | $776.25 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $776.25 Typical High $6,760.83 | Professional | None (both parts) | $478.63 | $776.25 | $6,760.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $239.88 Typical High $1,380.38 | Professional | 26 · Professional part | $141.25 | $239.88 | $1,380.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $316.23 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,445.44 Typical High $3,311.31 | Professional | None (both parts) | $338.84 | $1,445.44 | $3,311.31 |
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 $239.88 Median $1,000.00 Typical High $2,454.71 | Professional | TC · Technical part | $239.88 | $1,000.00 | $2,454.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $131.83 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $131.83 | $288.40 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,584.89 | Facility | None | $933.25 | $1,071.52 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $588.84 Typical High $1,949.84 | Professional | None (both parts) | $489.78 | $588.84 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $524.81 | Professional | 26 · Professional part | $128.82 | $169.82 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $1,380.38 | Professional | TC · Technical part | $346.74 | $426.58 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $2,089.30 Typical High $2,951.21 | Facility | None | $407.38 | $2,089.30 | $2,951.21 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,951.21 | Facility | TC · Technical part | $1,862.09 | $2,290.87 | $2,951.21 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $630.96 Median $870.96 Typical High $954.99 | Professional | None (both parts) | $630.96 | $870.96 | $954.99 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $263.03 Typical High $288.40 | Professional | 26 · Professional part | $190.55 | $263.03 | $288.40 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $602.56 Typical High $724.44 | Professional | TC · Technical part | $436.52 | $602.56 | $724.44 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $2,754.23 Typical High $4,786.30 | Facility | None | $407.38 | $2,754.23 | $4,786.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,862.09 Typical High $6,025.60 | Professional | None (both parts) | $645.65 | $1,862.09 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $478.63 Typical High $891.25 | Professional | 26 · Professional part | $134.90 | $478.63 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,445.44 Typical High $5,495.41 | Professional | TC · Technical part | $478.63 | $1,445.44 | $5,495.41 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $1,174.90 | Facility | None | $562.34 | $562.34 | $1,174.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,348.96 Typical High $1,412.54 | Professional | None (both parts) | $537.03 | $1,348.96 | $1,412.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $223.87 Typical High $416.87 | Professional | 26 · Professional part | $147.91 | $223.87 | $416.87 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,000.00 Typical High $1,148.15 | Professional | TC · Technical part | $380.19 | $1,000.00 | $1,148.15 |
Prevea360 Setting Facility Modifier None Typical Low $363.08 Median $741.31 Typical High $1,174.90 | Facility | None | $363.08 | $741.31 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $1,905.46 | Professional | None | $371.54 | $776.25 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $1,348.96 | Professional | None (both parts) | $489.78 | $489.78 | $1,348.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $363.08 | Professional | 26 · Professional part | $151.36 | $151.36 | $363.08 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $954.99 | Professional | TC · Technical part | $346.74 | $346.74 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $3,311.31 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $3,311.31 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $616.60 Typical High $741.31 | Professional | 26 · Professional part | $457.09 | $616.60 | $741.31 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $2,290.87 Typical High $2,691.53 | Professional | TC · Technical part | $1,348.96 | $2,290.87 | $2,691.53 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $588.84 Median $977.24 Typical High $3,019.95 | Professional | None (both parts) | $588.84 | $977.24 | $3,019.95 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $537.03 Typical High $660.69 | Professional | 26 · Professional part | $186.21 | $537.03 | $660.69 |
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 $416.87 Median $1,023.29 Typical High $2,691.53 | Professional | None (both parts) | $416.87 | $1,023.29 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $275.42 Typical High $524.81 | Professional | 26 · Professional part | $120.23 | $275.42 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $741.31 Typical High $2,398.83 | Professional | TC · Technical part | $295.12 | $741.31 | $2,398.83 |
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 $389.05 Median $389.05 Typical High $3,388.44 | Professional | 52 · Reduced service | $389.05 | $389.05 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $1,348.96 | Professional | 53 · Discontinued | $154.88 | $154.88 | $1,348.96 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 80 · Assistant surgeon | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 81 · Minimal assistant surgeon | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $302.00 Median $371.54 Typical High $467.74 | Facility | 82 · Assistant surgeon, no resident | $302.00 | $371.54 | $467.74 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $263.03 Median $323.59 Typical High $407.38 | Facility | AS · PA/NP assist | $263.03 | $323.59 | $407.38 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $138.04 Typical High $154.88 | Professional | 80 · Assistant surgeon | $100.00 | $138.04 | $154.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $138.04 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $100.00 | $138.04 | $154.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $138.04 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $138.04 | $154.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $120.23 Typical High $134.90 | Professional | AS · PA/NP assist | $89.13 | $120.23 | $134.90 |
Where Wisconsin sits
The same service costs 5.8 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
$1,072
WY $1,349UT $234
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.