How much rates vary
Facilitymedian $186 · 10th to 90th $95 to $316Professionalmedian $257 · 10th to 90th $102 to $661
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 $165.96 Median $186.21 Typical High $199.53 | Facility | None | $165.96 | $186.21 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $616.60 | Professional | None (both parts) | $104.71 | $186.21 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $245.47 | Professional | 26 · Professional part | $28.18 | $51.29 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $398.11 Typical High $954.99 | Professional | None (both parts) | $100.00 | $398.11 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $107.15 Typical High $269.15 | Professional | 26 · Professional part | $26.92 | $107.15 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $72.44 | $295.12 | $676.08 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $34.67 | $89.13 | $125.89 |
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 $162.18 Typical High $549.54 | Professional | None (both parts) | $104.71 | $162.18 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $131.83 | Professional | 26 · Professional part | $32.36 | $43.65 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $416.87 | Professional | TC · Technical part | $74.13 | $114.82 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $199.53 | Facility | None | $83.18 | $104.71 | $199.53 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $131.83 | Facility | TC · Technical part | $83.18 | $104.71 | $131.83 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $186.21 | $257.04 | $281.84 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $69.18 | $75.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $186.21 | $208.93 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $2,511.89 | Facility | None | $81.28 | $194.98 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $120.23 | $363.08 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $33.88 | $114.82 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $87.10 | $281.84 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $147.91 | $181.97 | $407.38 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $44.67 | $109.65 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $114.82 | $138.04 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $169.82 Typical High $199.53 | Facility | None | $95.50 | $169.82 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $446.68 | Professional | None | $109.65 | $218.78 | $446.68 |
Quartz Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $338.84 | Professional | None (both parts) | $147.91 | $147.91 | $338.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $39.81 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $107.15 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $309.03 | $645.65 | $831.76 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $97.72 | $158.49 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $251.19 | $489.78 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $707.95 | Professional | None (both parts) | $177.83 | $251.19 | $707.95 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $47.86 | $109.65 | $165.96 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $128.82 | $186.21 | $537.03 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $234.42 Typical High $501.19 | Professional | None (both parts) | $107.15 | $234.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $29.51 | $66.07 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $77.62 | $169.82 | $363.08 |
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 $13.49 Median $16.60 Typical High $20.89 | Facility | 80 · Assistant surgeon | $13.49 | $16.60 | $20.89 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $16.60 Typical High $20.89 | Facility | 81 · Minimal assistant surgeon | $13.49 | $16.60 | $20.89 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $16.60 Typical High $20.89 | Facility | 82 · Assistant surgeon, no resident | $13.49 | $16.60 | $20.89 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $11.75 Median $14.45 Typical High $18.20 | Facility | AS · PA/NP assist | $11.75 | $14.45 | $18.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $40.74 Typical High $45.71 | Professional | 80 · Assistant surgeon | $30.20 | $40.74 | $45.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $40.74 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $30.20 | $40.74 | $45.71 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $40.74 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $40.74 | $45.71 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $35.48 Typical High $39.81 | Professional | AS · PA/NP assist | $26.30 | $35.48 | $39.81 |
Where Wisconsin sits
The same service costs 4.2 times more in Alaska than in Utah. 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 $316UT $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.