How much rates vary
Facilitymedian $589 · 10th to 90th $251 to $1,549Professionalmedian $1,259 · 10th to 90th $513 to $3,162
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 $562.34 Typical High $562.34 | Facility | None | $199.53 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $3,162.28 | Professional | None (both parts) | $562.34 | $562.34 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $1,000.00 | Professional | 26 · Professional part | $218.78 | $218.78 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,905.46 Typical High $3,715.35 | Professional | None (both parts) | $478.63 | $1,905.46 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $467.74 Typical High $954.99 | Professional | 26 · Professional part | $114.82 | $467.74 | $954.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,445.44 Typical High $2,754.23 | Professional | TC · Technical part | $354.81 | $1,445.44 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,445.44 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $724.44 Typical High $2,238.72 | Professional | None (both parts) | $524.81 | $724.44 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $186.21 Typical High $575.44 | Professional | 26 · Professional part | $131.83 | $186.21 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $1,737.80 | Professional | TC · Technical part | $398.11 | $549.54 | $1,737.80 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $1,047.13 Typical High $1,445.44 | Facility | None | $338.84 | $1,047.13 | $1,445.44 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Facility | TC · Technical part | $933.25 | $1,174.90 | $1,479.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,174.90 Typical High $1,318.26 | Professional | None (both parts) | $870.96 | $1,174.90 | $1,318.26 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $331.13 | Professional | 26 · Professional part | $218.78 | $295.12 | $331.13 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $870.96 Typical High $1,000.00 | Professional | TC · Technical part | $645.65 | $870.96 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $2,818.38 | Facility | None | $281.84 | $575.44 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,778.28 Typical High $2,290.87 | Professional | None (both parts) | $616.60 | $1,778.28 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $446.68 Typical High $741.31 | Professional | 26 · Professional part | $147.91 | $446.68 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,380.38 Typical High $1,737.80 | Professional | TC · Technical part | $478.63 | $1,380.38 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,202.26 | Facility | None | $794.33 | $794.33 | $1,202.26 |
Network Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,000.00 Typical High $1,905.46 | Professional | None (both parts) | $741.31 | $1,000.00 | $1,905.46 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $194.98 Typical High $478.63 | Professional | 26 · Professional part | $169.82 | $194.98 | $478.63 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $812.83 Typical High $1,479.11 | Professional | TC · Technical part | $562.34 | $812.83 | $1,479.11 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $575.44 Typical High $588.84 | Facility | None | $281.84 | $575.44 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $1,023.29 Typical High $2,089.30 | Professional | None | $512.86 | $1,023.29 | $2,089.30 |
Quartz Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $1,737.80 | Professional | None (both parts) | $537.03 | $676.08 | $1,737.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $416.87 | Professional | 26 · Professional part | $138.04 | $169.82 | $416.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $1,348.96 | Professional | TC · Technical part | $398.11 | $501.19 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,862.09 Typical High $3,388.44 | Professional | None (both parts) | $1,584.89 | $1,862.09 | $3,388.44 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $426.58 Typical High $691.83 | Professional | 26 · Professional part | $354.81 | $426.58 | $691.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,348.96 Typical High $2,691.53 | Professional | TC · Technical part | $1,148.15 | $1,348.96 | $2,691.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 26 · Professional part | $776.25 | $776.25 | $776.25 |
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 $549.54 Median $1,096.48 Typical High $2,570.40 | Professional | None (both parts) | $549.54 | $1,096.48 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $128.82 | $288.40 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $912.01 Typical High $1,949.84 | Professional | TC · Technical part | $416.87 | $912.01 | $1,949.84 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 80 · Assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 81 · Minimal assistant surgeon | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $186.21 Typical High $234.42 | Facility | 82 · Assistant surgeon, no resident | $151.36 | $186.21 | $234.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $131.83 Median $162.18 Typical High $208.93 | Facility | AS · PA/NP assist | $131.83 | $162.18 | $208.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $190.55 Typical High $208.93 | Professional | 80 · Assistant surgeon | $138.04 | $190.55 | $208.93 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $190.55 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $138.04 | $190.55 | $208.93 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $190.55 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $190.55 | $208.93 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $165.96 Typical High $181.97 | Professional | AS · PA/NP assist | $120.23 | $165.96 | $181.97 |
Where Wisconsin sits
The same service costs 8.1 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· 2nd of 51
$1,230
AK $1,349UT $166
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.