How much rates vary
Facilitymedian $126 · 10th to 90th $46 to $1,230Professionalmedian $105 · 10th to 90th $47 to $355
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 $61.66 Median $61.66 Typical High $199.53 | Facility | None | $61.66 | $61.66 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $588.84 | Professional | None (both parts) | $61.66 | $61.66 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $269.15 | Professional | 26 · Professional part | $15.85 | $22.39 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $33.88 | $38.90 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $39.81 | $162.18 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $15.14 | $58.88 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $93.33 Typical High $199.53 | Professional | TC · Technical part | $25.12 | $93.33 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $190.55 | Facility | None | $112.20 | $125.89 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $199.53 | Professional | None (both parts) | $58.88 | $64.57 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $72.44 | Professional | 26 · Professional part | $18.62 | $24.55 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $128.82 | Professional | TC · Technical part | $38.02 | $43.65 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $1,122.02 Typical High $1,513.56 | Facility | None | $45.71 | $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 $75.86 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $75.86 | $95.50 | $114.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $38.02 | $41.69 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $47.86 | $57.54 | $74.13 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $912.01 | Facility | None | $38.02 | $74.13 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $48.98 | $169.82 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $19.05 | $69.18 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $100.00 Typical High $302.00 | Professional | TC · Technical part | $29.51 | $100.00 | $302.00 |
Network Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $83.18 | Facility | None | $60.26 | $60.26 | $83.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $165.96 | Professional | None (both parts) | $56.23 | $81.28 | $165.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $25.12 | $60.26 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $57.54 | $104.71 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $79.43 | Facility | None | $36.31 | $45.71 | $79.43 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $181.97 | Professional | None | $46.77 | $95.50 | $181.97 |
Quartz Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $131.83 | Professional | None (both parts) | $58.88 | $58.88 | $131.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $21.88 | $53.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $38.02 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Security Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $87.10 | $234.42 | $275.42 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $60.26 | $85.11 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $38.90 | $54.95 | $147.91 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $74.13 | $125.89 | $263.03 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $26.92 | $70.79 | $91.20 |
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 $43.65 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $43.65 | $91.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $34.67 Typical High $69.18 | Professional | 26 · Professional part | $16.98 | $34.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $57.54 Typical High $114.82 | Professional | TC · Technical part | $25.12 | $57.54 | $114.82 |
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 $30.90 Median $30.90 Typical High $295.12 | Professional | 52 · Reduced service | $30.90 | $30.90 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $120.23 | Professional | 53 · Discontinued | $12.30 | $12.30 | $120.23 |
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 $12.02 Median $15.49 Typical High $18.62 | Professional | 80 · Assistant surgeon | $12.02 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $15.49 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $12.02 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $15.49 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $15.49 | $18.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $13.49 Typical High $16.22 | Professional | AS · PA/NP assist | $10.72 | $13.49 | $16.22 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in New York. 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
$107
AK $115NY $30.20
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.