How much rates vary
Facilitymedian $309 · 10th to 90th $174 to $891Professionalmedian $389 · 10th to 90th $234 to $1,660
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 $389.05 Typical High $389.05 | Facility | None | $199.53 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $1,258.93 | Professional | None (both parts) | $245.47 | $389.05 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $549.54 | Professional | 26 · Professional part | $95.50 | $151.36 | $549.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $588.84 Typical High $1,737.80 | Professional | None (both parts) | $190.55 | $588.84 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $281.84 Typical High $794.33 | Professional | 26 · Professional part | $95.50 | $281.84 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $436.52 Typical High $1,023.29 | Professional | TC · Technical part | $141.25 | $436.52 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $281.84 Typical High $933.25 | Facility | None | $158.49 | $281.84 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $1,047.13 | Professional | None (both parts) | $263.03 | $371.54 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $407.38 | Professional | 26 · Professional part | $114.82 | $144.54 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $154.88 | $229.09 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $645.65 Typical High $891.25 | Facility | None | $239.88 | $645.65 | $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 $467.74 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $467.74 | $537.03 | $630.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $263.03 | Professional | 26 · Professional part | $177.83 | $208.93 | $263.03 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $316.23 | $389.05 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $1,174.90 | Facility | None | $204.17 | $457.09 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $660.69 Typical High $1,698.24 | Professional | None (both parts) | $239.88 | $660.69 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $309.03 Typical High $630.96 | Professional | 26 · Professional part | $109.65 | $309.03 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $380.19 Typical High $1,047.13 | Professional | TC · Technical part | $131.83 | $380.19 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Facility | None | $398.11 | $398.11 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $660.69 | Professional | None (both parts) | $323.59 | $331.13 | $660.69 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $158.49 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $158.49 | $263.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $173.78 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $446.68 | Facility | None | $204.17 | $288.40 | $446.68 |
Quartz Setting Professional Modifier None Typical Low $309.03 Median $602.56 Typical High $977.24 | Professional | None | $309.03 | $602.56 | $977.24 |
Quartz Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $281.84 | Facility | None | $154.88 | $190.55 | $281.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $346.74 | $371.54 | $524.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | 26 · Professional part | $144.54 | $144.54 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $229.09 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,174.90 Typical High $1,778.28 | Professional | None (both parts) | $446.68 | $1,174.90 | $1,778.28 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $229.09 Typical High $549.54 | Professional | 26 · Professional part | $204.17 | $229.09 | $549.54 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $616.60 | Professional | TC · Technical part | $190.55 | $223.87 | $616.60 |
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 $208.93 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $208.93 | $363.08 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $154.88 Typical High $446.68 | Professional | 26 · Professional part | $97.72 | $154.88 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $123.03 | $186.21 | $562.34 |
11 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 $123.03 Median $194.98 Typical High $630.96 | Professional | 52 · Reduced service | $123.03 | $194.98 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $77.62 Typical High $251.19 | Professional | 53 · Discontinued | $48.98 | $77.62 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $194.98 Typical High $316.23 | Professional | FX · Film X-ray | $165.96 | $194.98 | $316.23 |
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 $74.13 Median $85.11 Typical High $100.00 | Professional | 80 · Assistant surgeon | $74.13 | $85.11 | $100.00 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $85.11 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $74.13 | $85.11 | $100.00 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $85.11 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $85.11 | $100.00 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | AS · PA/NP assist | $64.57 | $74.13 | $87.10 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 9th of 51
$389
AK $741TX $138
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.