How much rates vary
Facilitymedian $372 · 10th to 90th $151 to $741Professionalmedian $339 · 10th to 90th $138 to $933
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 $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $1,122.02 | Professional | None (both parts) | $141.25 | $204.17 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $64.57 Typical High $436.52 | Professional | 26 · Professional part | $41.69 | $64.57 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $100.00 | $141.25 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $549.54 Typical High $1,096.48 | Professional | None (both parts) | $138.04 | $549.54 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $162.18 Typical High $331.13 | Professional | 26 · Professional part | $41.69 | $162.18 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $95.50 | $389.05 | $741.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $53.70 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $53.70 | $112.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $630.96 | Facility | None | $371.54 | $426.58 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $147.91 | $223.87 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $173.78 | Professional | 26 · Professional part | $46.77 | $67.61 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $147.91 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $891.25 | Facility | None | $151.36 | $660.69 | $891.25 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $707.95 Typical High $891.25 | Facility | TC · Technical part | $575.44 | $707.95 | $891.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $251.19 | $316.23 | $380.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $97.72 | $117.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $173.78 | $229.09 | $263.03 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $457.09 | Facility | None | $125.89 | $162.18 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $147.91 | $478.63 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $48.98 | $154.88 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $102.33 | $346.74 | $660.69 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $263.03 | Facility | None | $213.80 | $213.80 | $263.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $199.53 | $208.93 | $478.63 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $61.66 | $169.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $398.11 | Professional | TC · Technical part | $138.04 | $154.88 | $398.11 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $269.15 | Facility | None | $123.03 | $151.36 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $602.56 | Professional | None | $147.91 | $309.03 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $537.03 | Professional | None (both parts) | $194.98 | $194.98 | $537.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $61.66 | $151.36 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $134.90 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $776.25 Typical High $977.24 | Professional | None (both parts) | $257.04 | $776.25 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $120.23 | $190.55 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $144.54 | $218.78 | $549.54 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $239.88 | $346.74 | $831.76 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $154.88 Typical High $218.78 | Professional | 26 · Professional part | $74.13 | $154.88 | $218.78 |
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 $128.82 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $128.82 | $281.84 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $39.81 | $91.20 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $186.21 Typical High $398.11 | Professional | TC · Technical part | $91.20 | $186.21 | $398.11 |
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 $102.33 Median $102.33 Typical High $562.34 | Professional | 52 · Reduced service | $102.33 | $102.33 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $223.87 | Professional | 53 · Discontinued | $40.74 | $40.74 | $223.87 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $91.20 Median $114.82 Typical High $144.54 | Facility | 80 · Assistant surgeon | $91.20 | $114.82 | $144.54 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $114.82 Typical High $144.54 | Facility | 81 · Minimal assistant surgeon | $91.20 | $114.82 | $144.54 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $114.82 Typical High $144.54 | Facility | 82 · Assistant surgeon, no resident | $91.20 | $114.82 | $144.54 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $79.43 Median $100.00 Typical High $125.89 | Facility | AS · PA/NP assist | $79.43 | $100.00 | $125.89 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $51.29 Typical High $61.66 | Professional | 80 · Assistant surgeon | $40.74 | $51.29 | $61.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $51.29 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $40.74 | $51.29 | $61.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $51.29 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $51.29 | $61.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $44.67 Typical High $53.70 | Professional | AS · PA/NP assist | $35.48 | $44.67 | $53.70 |
Where Wisconsin sits
The same service costs 3.9 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
$339
AK $407UT $105
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.