How much rates vary
Facilitymedian $214 · 10th to 90th $87 to $1,259Professionalmedian $214 · 10th to 90th $85 to $912
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 $117.49 Median $117.49 Typical High $199.53 | Facility | None | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $977.24 | Professional | None (both parts) | $109.65 | $117.49 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $234.42 | Professional | 26 · Professional part | $23.44 | $37.15 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $181.97 | Professional | TC · Technical part | $66.07 | $81.28 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $309.03 Typical High $1,778.28 | Professional | None (both parts) | $74.13 | $309.03 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $23.44 | $81.28 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $208.93 Typical High $1,659.59 | Professional | TC · Technical part | $51.29 | $208.93 | $1,659.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $30.90 | $64.57 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $363.08 | Facility | None | $213.80 | $239.88 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $446.68 | Professional | None (both parts) | $112.20 | $131.83 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $100.00 | Professional | 26 · Professional part | $26.92 | $38.02 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $302.00 | Professional | TC · Technical part | $77.62 | $95.50 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $1,122.02 Typical High $1,513.56 | Facility | None | $87.10 | $1,122.02 | $1,513.56 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $977.24 Median $1,202.26 Typical High $1,513.56 | Facility | TC · Technical part | $977.24 | $1,202.26 | $1,513.56 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $144.54 | $181.97 | $218.78 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $61.66 | $69.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $123.03 | $151.36 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $912.01 | Facility | None | $67.61 | $93.33 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $102.33 | $575.44 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $26.92 | $85.11 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $575.44 Typical High $724.44 | Professional | TC · Technical part | $67.61 | $575.44 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Network Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $57.54 | $199.53 | $309.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $97.72 | Professional | 26 · Professional part | $28.84 | $34.67 | $97.72 |
Prevea360 Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $151.36 | Facility | None | $67.61 | $87.10 | $151.36 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $371.54 | Professional | None | $89.13 | $186.21 | $371.54 |
Quartz Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $112.20 | $112.20 | $239.88 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $35.48 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $77.62 | $181.97 |
Security Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Security Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $1,288.25 | Professional | None (both parts) | $288.40 | $489.78 | $1,288.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $67.61 | $147.91 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $1,174.90 | Professional | TC · Technical part | $229.09 | $269.15 | $1,174.90 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $44.67 | $97.72 | $128.82 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $194.98 Typical High $912.01 | Professional | None (both parts) | $79.43 | $194.98 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $21.88 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $125.89 Typical High $891.25 | Professional | TC · Technical part | $53.70 | $125.89 | $891.25 |
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 $58.88 Median $58.88 Typical High $501.19 | Professional | 52 · Reduced service | $58.88 | $58.88 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $199.53 | Professional | 53 · Discontinued | $23.44 | $23.44 | $199.53 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 80 · Assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 81 · Minimal assistant surgeon | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | 82 · Assistant surgeon, no resident | $154.88 | $194.98 | $245.47 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $213.80 | Facility | AS · PA/NP assist | $138.04 | $169.82 | $213.80 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $28.84 Typical High $35.48 | Professional | 80 · Assistant surgeon | $22.91 | $28.84 | $35.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $28.84 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $22.91 | $28.84 | $35.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $28.84 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $28.84 | $35.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $25.70 Typical High $30.90 | Professional | AS · PA/NP assist | $20.42 | $25.70 | $30.90 |
Where Wisconsin sits
The same service costs 5.4 times more in New York 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· 3rd of 51
$214
NY $355TX $66.07
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.