How much rates vary
Facilitymedian $617 · 10th to 90th $257 to $1,288Professionalmedian $871 · 10th to 90th $363 to $2,630
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 $575.44 Typical High $575.44 | Facility | None | $199.53 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $5,888.44 | Professional | None (both parts) | $575.44 | $575.44 | $5,888.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $2,818.38 | Professional | 26 · Professional part | $223.87 | $223.87 | $2,818.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $239.88 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,202.26 Typical High $3,019.95 | Professional | None (both parts) | $316.23 | $1,202.26 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $467.74 Typical High $1,174.90 | Professional | 26 · Professional part | $117.49 | $467.74 | $1,174.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $776.25 Typical High $1,862.09 | Professional | TC · Technical part | $194.98 | $776.25 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,445.44 | Facility | None | $851.14 | $954.99 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $1,778.28 | Professional | None (both parts) | $407.38 | $489.78 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $588.84 | Professional | 26 · Professional part | $134.90 | $190.55 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $1,096.48 | Professional | TC · Technical part | $263.03 | $302.00 | $1,096.48 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $933.25 Typical High $1,288.25 | Facility | None | $346.74 | $933.25 | $1,288.25 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,318.26 | Facility | TC · Technical part | $831.76 | $1,047.13 | $1,318.26 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $575.44 Median $776.25 Typical High $870.96 | Professional | None (both parts) | $575.44 | $776.25 | $870.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $302.00 Typical High $338.84 | Professional | 26 · Professional part | $218.78 | $302.00 | $338.84 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $478.63 | $537.03 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $2,818.38 | Facility | None | $288.40 | $575.44 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,230.27 Typical High $1,905.46 | Professional | None (both parts) | $407.38 | $1,230.27 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $457.09 Typical High $758.58 | Professional | 26 · Professional part | $151.36 | $457.09 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $851.14 Typical High $1,148.15 | Professional | TC · Technical part | $281.84 | $851.14 | $1,148.15 |
Network Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $851.14 | Facility | None | $549.54 | $549.54 | $851.14 |
Network Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $1,258.93 | Professional | None (both parts) | $512.86 | $691.83 | $1,258.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $194.98 Typical High $478.63 | Professional | 26 · Professional part | $173.78 | $194.98 | $478.63 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $489.78 | $758.58 |
Prevea360 Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $602.56 | Facility | None | $288.40 | $575.44 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $691.83 Typical High $1,380.38 | Professional | None | $346.74 | $691.83 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $1,096.48 | Professional | None (both parts) | $436.52 | $446.68 | $1,096.48 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $426.58 | Professional | 26 · Professional part | $173.78 | $173.78 | $426.58 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $275.42 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,862.09 Typical High $2,398.83 | Professional | None (both parts) | $1,122.02 | $1,862.09 | $2,398.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $426.58 Typical High $691.83 | Professional | 26 · Professional part | $354.81 | $426.58 | $691.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $851.14 | $1,737.80 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $478.63 Typical High $741.31 | Professional | 26 · Professional part | $208.93 | $478.63 | $741.31 |
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 $371.54 Median $776.25 Typical High $1,621.81 | Professional | None (both parts) | $371.54 | $776.25 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $128.82 | $288.40 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $229.09 | $501.19 | $1,000.00 |
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 $134.90 Median $165.96 Typical High $208.93 | Facility | 80 · Assistant surgeon | $134.90 | $165.96 | $208.93 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $165.96 Typical High $208.93 | Facility | 81 · Minimal assistant surgeon | $134.90 | $165.96 | $208.93 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $165.96 Typical High $208.93 | Facility | 82 · Assistant surgeon, no resident | $134.90 | $165.96 | $208.93 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $117.49 Median $144.54 Typical High $186.21 | Facility | AS · PA/NP assist | $117.49 | $144.54 | $186.21 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $125.89 Typical High $138.04 | Professional | 80 · Assistant surgeon | $91.20 | $125.89 | $138.04 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $125.89 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $91.20 | $125.89 | $138.04 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $125.89 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $125.89 | $138.04 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $109.65 Typical High $123.03 | Professional | AS · PA/NP assist | $79.43 | $109.65 | $123.03 |
Where Wisconsin sits
The same service costs 5.8 times more in Alaska 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· 2nd of 51
$851
AK $1,148TX $200
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.