How much rates vary
Facilitymedian $263 · 10th to 90th $107 to $1,259Professionalmedian $234 · 10th to 90th $95 to $646
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 $144.54 Median $144.54 Typical High $199.53 | Facility | None | $144.54 | $144.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $851.14 | Professional | None (both parts) | $144.54 | $144.54 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $190.55 | Professional | 26 · Professional part | $26.92 | $26.92 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $114.82 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $363.08 Typical High $758.58 | Professional | None (both parts) | $93.33 | $363.08 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $16.98 | $69.18 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $275.42 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Facility | None | $263.03 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $147.91 Typical High $407.38 | Professional | None (both parts) | $100.00 | $147.91 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $85.11 | Professional | 26 · Professional part | $21.88 | $28.84 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $120.23 Typical High $323.59 | Professional | TC · Technical part | $79.43 | $120.23 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $1,122.02 Typical High $1,513.56 | Facility | None | $107.15 | $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 $177.83 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $177.83 | $223.87 | $269.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $44.67 | $50.12 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $144.54 | $169.82 | $218.78 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $616.60 | Facility | None | $85.11 | $112.20 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $95.50 | $331.13 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $21.88 | $79.43 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $275.42 | $524.81 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $169.82 | Facility | None | $147.91 | $147.91 | $169.82 |
Network Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $134.90 | $138.04 | $309.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $30.20 | $70.79 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $112.20 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $186.21 | Facility | None | $85.11 | $107.15 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $426.58 | Professional | None | $112.20 | $229.09 | $426.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $138.04 | $138.04 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $25.70 | $61.66 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $112.20 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $165.96 | $524.81 | $660.69 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $45.71 | $107.15 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $158.49 | $380.19 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $89.13 | $186.21 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $40.74 Typical High $81.28 | Professional | 26 · Professional part | $19.50 | $40.74 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $72.44 | $144.54 | $309.03 |
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 $72.44 Median $72.44 Typical High $426.58 | Professional | 52 · Reduced service | $72.44 | $72.44 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $169.82 | Professional | 53 · Discontinued | $28.84 | $28.84 | $169.82 |
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 $28.18 Median $35.48 Typical High $42.66 | Professional | 80 · Assistant surgeon | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $35.48 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $35.48 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $30.90 Typical High $37.15 | Professional | AS · PA/NP assist | $24.55 | $30.90 | $37.15 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$234
AK $282KY $74.13
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.