How much rates vary
Facilitymedian $407 · 10th to 90th $170 to $759Professionalmedian $372 · 10th to 90th $158 to $1,023
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 $229.09 Typical High $229.09 | Facility | None | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $1,122.02 | Professional | None (both parts) | $154.88 | $229.09 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $446.68 | Professional | 26 · Professional part | $48.98 | $74.13 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $154.88 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $151.36 | $602.56 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $162.18 Typical High $331.13 | Professional | 26 · Professional part | $47.86 | $162.18 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $416.87 Typical High $812.83 | Professional | TC · Technical part | $102.33 | $416.87 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $691.83 | Facility | None | $407.38 | $467.74 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $660.69 | Professional | None (both parts) | $162.18 | $239.88 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $199.53 | Professional | 26 · Professional part | $54.95 | $72.44 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $478.63 | Professional | TC · Technical part | $125.89 | $162.18 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $169.82 Median $660.69 Typical High $891.25 | Facility | None | $169.82 | $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 $275.42 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $275.42 | $380.19 | $426.58 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $112.20 | $134.90 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $257.04 | $288.40 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $457.09 | Facility | None | $134.90 | $177.83 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $162.18 | $562.34 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $53.70 | $173.78 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $117.49 | $426.58 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Facility | None | $234.42 | $234.42 | $323.59 |
Network Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $223.87 | $257.04 | $562.34 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $199.53 | Professional | 26 · Professional part | $54.95 | $70.79 | $199.53 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $426.58 | Professional | TC · Technical part | $151.36 | $199.53 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $169.82 Typical High $302.00 | Facility | None | $134.90 | $169.82 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $676.08 | Professional | None | $165.96 | $338.84 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $218.78 | $218.78 | $501.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $70.79 | $158.49 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $147.91 | $147.91 | $331.13 |
Security Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Security Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $302.00 | $912.01 | $1,071.52 |
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 $151.36 Median $275.42 Typical High $724.44 | Professional | TC · Technical part | $151.36 | $275.42 | $724.44 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $1,023.29 | Professional | None (both parts) | $263.03 | $389.05 | $1,023.29 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $177.83 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $177.83 | $251.19 |
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 $147.91 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $147.91 | $309.03 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $41.69 | $97.72 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $104.71 | $218.78 | $436.52 |
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 $114.82 Median $114.82 Typical High $562.34 | Professional | 52 · Reduced service | $114.82 | $114.82 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $223.87 | Professional | 53 · Discontinued | $45.71 | $45.71 | $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 $44.67 Median $60.26 Typical High $67.61 | Professional | 80 · Assistant surgeon | $44.67 | $60.26 | $67.61 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $60.26 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $44.67 | $60.26 | $67.61 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $60.26 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $60.26 | $67.61 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $52.48 Typical High $58.88 | Professional | AS · PA/NP assist | $38.90 | $52.48 | $58.88 |
Where Wisconsin sits
The same service costs 4.3 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
$380
AK $447UT $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.