How much rates vary
Facilitymedian $275 · 10th to 90th $112 to $1,259Professionalmedian $245 · 10th to 90th $102 to $692
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 $151.36 Median $151.36 Typical High $199.53 | Facility | None | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $933.25 | Professional | None (both parts) | $104.71 | $151.36 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $177.83 | Professional | 26 · Professional part | $16.22 | $23.44 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $128.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $102.33 | $371.54 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $15.14 | $61.66 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $87.10 | $295.12 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Facility | None | $275.42 | $316.23 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $104.71 | $154.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $75.86 | Professional | 26 · Professional part | $19.05 | $25.12 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $89.13 | $134.90 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $1,122.02 Typical High $1,513.56 | Facility | None | $112.20 | $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 $186.21 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $186.21 | $234.42 | $281.84 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $38.90 | $42.66 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $199.53 | $239.88 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $616.60 | Facility | None | $91.20 | $120.23 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $107.15 | $354.81 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $70.79 Typical High $151.36 | Professional | 26 · Professional part | $19.50 | $70.79 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $87.10 | $288.40 | $588.84 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $144.54 | $147.91 | $316.23 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $21.88 | $26.30 | $63.10 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $125.89 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $199.53 | Facility | None | $91.20 | $112.20 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $457.09 | Professional | None | $117.49 | $239.88 | $457.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $144.54 | $144.54 | $316.23 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $22.39 | $54.95 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $123.03 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Security Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $190.55 | $562.34 | $707.95 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $66.07 | $89.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $398.11 | Professional | TC · Technical part | $120.23 | $165.96 | $398.11 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $186.21 | $316.23 | $660.69 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $63.10 | $95.50 |
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 $97.72 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $97.72 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $17.38 | $35.48 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $81.28 | $165.96 | $346.74 |
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 $75.86 Median $75.86 Typical High $467.74 | Professional | 52 · Reduced service | $75.86 | $75.86 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $186.21 | Professional | 53 · Discontinued | $30.20 | $30.20 | $186.21 |
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 $30.20 Median $38.02 Typical High $45.71 | Professional | 80 · Assistant surgeon | $30.20 | $38.02 | $45.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $30.20 | $38.02 | $45.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $38.02 | $45.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $33.11 Typical High $39.81 | Professional | AS · PA/NP assist | $26.30 | $33.11 | $39.81 |
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· 3rd of 51
$245
AK $288NY $75.86
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.