How much rates vary
Facilitymedian $263 · 10th to 90th $107 to $513Professionalmedian $234 · 10th to 90th $98 to $646
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 $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $676.08 | Professional | None (both parts) | $100.00 | $144.54 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $288.40 | Professional | 26 · Professional part | $27.54 | $42.66 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $102.33 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $95.50 | $389.05 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $104.71 Typical High $218.78 | Professional | 26 · Professional part | $27.54 | $104.71 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $67.61 | $275.42 | $537.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $36.31 | $81.28 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Facility | None | $263.03 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $416.87 | Professional | None (both parts) | $104.71 | $151.36 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $114.82 | Professional | 26 · Professional part | $31.62 | $44.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $72.44 | $107.15 | $295.12 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $446.68 Typical High $602.56 | Facility | None | $107.15 | $446.68 | $602.56 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $602.56 | Facility | TC · Technical part | $389.05 | $478.63 | $602.56 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $177.83 | $223.87 | $269.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $63.10 | $79.43 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $165.96 | $190.55 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $389.05 Typical High $512.86 | Facility | None | $89.13 | $389.05 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $104.71 | $338.84 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $32.36 | $109.65 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $72.44 | $275.42 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $186.21 | Facility | None | $151.36 | $151.36 | $186.21 |
Network Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $141.25 | $147.91 | $338.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $114.82 | Professional | 26 · Professional part | $36.31 | $40.74 | $114.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $112.20 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $186.21 | Facility | None | $87.10 | $107.15 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $426.58 | Professional | None | $104.71 | $213.80 | $426.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $138.04 | $138.04 | $316.23 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $100.00 | Professional | 26 · Professional part | $40.74 | $40.74 | $100.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $97.72 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $190.55 | $537.03 | $676.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $79.43 | $128.82 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $154.88 | $398.11 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $165.96 | $281.84 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $128.82 | $144.54 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $91.20 | $194.98 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $26.92 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $66.07 | $134.90 | $281.84 |
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 $72.44 Median $72.44 Typical High $338.84 | Professional | 52 · Reduced service | $72.44 | $72.44 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $138.04 | Professional | 53 · Discontinued | $28.84 | $28.84 | $138.04 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $61.66 Median $75.86 Typical High $97.72 | Facility | 80 · Assistant surgeon | $61.66 | $75.86 | $97.72 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $75.86 Typical High $97.72 | Facility | 81 · Minimal assistant surgeon | $61.66 | $75.86 | $97.72 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $75.86 Typical High $97.72 | Facility | 82 · Assistant surgeon, no resident | $61.66 | $75.86 | $97.72 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $53.70 Median $67.61 Typical High $85.11 | Facility | AS · PA/NP assist | $53.70 | $67.61 | $85.11 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 80 · Assistant surgeon | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $31.62 Typical High $38.02 | Professional | AS · PA/NP assist | $24.55 | $31.62 | $38.02 |
Where Wisconsin sits
The same service costs 3.8 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
$234
AK $282UT $74.13
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.