How much rates vary
Facilitymedian $1,023 · 10th to 90th $398 to $5,495Professionalmedian $1,230 · 10th to 90th $501 to $4,169
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 $977.24 Typical High $977.24 | Facility | None | $199.53 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $501.19 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $316.23 Typical High $4,570.88 | Professional | 26 · Professional part | $177.83 | $316.23 | $4,570.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $354.81 | $645.65 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,737.80 Typical High $4,168.69 | Professional | None (both parts) | $436.52 | $1,737.80 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $549.54 Typical High $1,348.96 | Professional | 26 · Professional part | $134.90 | $549.54 | $1,348.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,174.90 Typical High $2,754.23 | Professional | TC · Technical part | $295.12 | $1,174.90 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,318.26 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $707.95 Typical High $2,454.71 | Professional | None (both parts) | $616.60 | $707.95 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $223.87 Typical High $691.83 | Professional | 26 · Professional part | $169.82 | $223.87 | $691.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $489.78 Typical High $1,698.24 | Professional | TC · Technical part | $416.87 | $489.78 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $512.86 Median $4,897.79 Typical High $6,760.83 | Facility | None | $512.86 | $4,897.79 | $6,760.83 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $5,370.32 Typical High $6,918.31 | Facility | TC · Technical part | $4,365.16 | $5,370.32 | $6,918.31 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $794.33 | $1,071.52 | $1,202.26 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $354.81 Typical High $389.05 | Professional | 26 · Professional part | $257.04 | $354.81 | $389.05 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $724.44 Typical High $812.83 | Professional | TC · Technical part | $524.81 | $724.44 | $812.83 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $1,023.29 Typical High $4,073.80 | Facility | None | $457.09 | $1,023.29 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,949.84 Typical High $4,897.79 | Professional | None (both parts) | $707.95 | $1,949.84 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $562.34 Typical High $891.25 | Professional | 26 · Professional part | $181.97 | $562.34 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,479.11 Typical High $4,073.80 | Professional | TC · Technical part | $501.19 | $1,479.11 | $4,073.80 |
Network Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,148.15 | Facility | None | $724.44 | $724.44 | $1,148.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,348.96 Typical High $1,778.28 | Professional | None (both parts) | $660.69 | $1,348.96 | $1,778.28 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $302.00 Typical High $562.34 | Professional | 26 · Professional part | $204.17 | $302.00 | $562.34 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,047.13 Typical High $1,202.26 | Professional | TC · Technical part | $478.63 | $1,047.13 | $1,202.26 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $831.76 Typical High $1,023.29 | Facility | None | $457.09 | $831.76 | $1,023.29 |
Quartz Setting Professional Modifier None Typical Low $478.63 Median $1,000.00 Typical High $1,905.46 | Professional | None | $478.63 | $1,000.00 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $616.60 | $1,621.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $489.78 | Professional | 26 · Professional part | $204.17 | $204.17 | $489.78 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $1,148.15 | Professional | TC · Technical part | $416.87 | $416.87 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,162.28 Typical High $3,981.07 | Professional | None (both parts) | $2,570.40 | $3,162.28 | $3,981.07 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $812.83 Typical High $954.99 | Professional | 26 · Professional part | $707.95 | $812.83 | $954.99 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,089.30 Typical High $2,454.71 | Professional | TC · Technical part | $1,698.24 | $2,089.30 | $2,454.71 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $588.84 Typical High $1,071.52 | Professional | 26 · Professional part | $245.47 | $588.84 | $1,071.52 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $524.81 | $1,258.93 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $371.54 Typical High $707.95 | Professional | 26 · Professional part | $162.18 | $371.54 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $912.01 Typical High $1,862.09 | Professional | TC · Technical part | $354.81 | $912.01 | $1,862.09 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | 80 · Assistant surgeon | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | 81 · Minimal assistant surgeon | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Facility | 82 · Assistant surgeon, no resident | $691.83 | $870.96 | $1,096.48 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $616.60 Median $758.58 Typical High $954.99 | Facility | AS · PA/NP assist | $616.60 | $758.58 | $954.99 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $169.82 Typical High $190.55 | Professional | 80 · Assistant surgeon | $125.89 | $169.82 | $190.55 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $169.82 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $125.89 | $169.82 | $190.55 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $169.82 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $169.82 | $190.55 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $151.36 Typical High $165.96 | Professional | AS · PA/NP assist | $109.65 | $151.36 | $165.96 |
Where Wisconsin sits
The same service costs 5.8 times more in Wyoming 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
$1,202
WY $1,698TX $295
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.