How much rates vary
Facilitymedian $832 · 10th to 90th $282 to $1,445Professionalmedian $871 · 10th to 90th $380 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 $602.56 Typical High $602.56 | Facility | None | $199.53 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $4,466.84 | Professional | None (both parts) | $371.54 | $602.56 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $208.93 Typical High $1,445.44 | Professional | 26 · Professional part | $117.49 | $208.93 | $1,445.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $251.19 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,288.25 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $1,288.25 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $446.68 Typical High $1,096.48 | Professional | 26 · Professional part | $109.65 | $446.68 | $1,096.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $870.96 Typical High $2,089.30 | Professional | TC · Technical part | $218.78 | $870.96 | $2,089.30 |
CareSource Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $144.54 | $257.04 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,513.56 | Facility | None | $891.25 | $1,023.29 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $1,778.28 | Professional | None (both parts) | $467.74 | $549.54 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $177.83 Typical High $549.54 | Professional | 26 · Professional part | $125.89 | $177.83 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $1,230.27 | Professional | TC · Technical part | $302.00 | $354.81 | $1,230.27 |
DeanCare Setting Facility Modifier None Typical Low $363.08 Median $933.25 Typical High $1,288.25 | Facility | None | $363.08 | $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 $602.56 Median $831.76 Typical High $912.01 | Professional | None (both parts) | $602.56 | $831.76 | $912.01 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $281.84 Typical High $316.23 | Professional | 26 · Professional part | $208.93 | $281.84 | $316.23 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $537.03 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $537.03 | $602.56 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $912.01 Typical High $3,162.28 | Facility | None | $302.00 | $912.01 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $512.86 | $1,513.56 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $446.68 Typical High $707.95 | Professional | 26 · Professional part | $141.25 | $446.68 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $1,023.29 Typical High $1,778.28 | Professional | TC · Technical part | $338.84 | $1,023.29 | $1,778.28 |
Network Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $933.25 | Facility | None | $588.84 | $588.84 | $933.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $549.54 | $741.31 | $1,318.26 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $457.09 | Professional | 26 · Professional part | $162.18 | $181.97 | $457.09 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $549.54 Typical High $870.96 | Professional | TC · Technical part | $389.05 | $549.54 | $870.96 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $602.56 | Facility | None | $281.84 | $562.34 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $1,445.44 | Professional | None | $363.08 | $741.31 | $1,445.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $1,174.90 | Professional | None (both parts) | $467.74 | $467.74 | $1,174.90 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | 26 · Professional part | $162.18 | $162.18 | $398.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $831.76 | Professional | TC · Technical part | $309.03 | $309.03 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,819.70 Typical High $2,630.27 | Professional | None (both parts) | $1,174.90 | $1,819.70 | $2,630.27 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $407.38 Typical High $660.69 | Professional | 26 · Professional part | $275.42 | $407.38 | $660.69 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,949.84 | Professional | TC · Technical part | $831.76 | $977.24 | $1,949.84 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $446.68 Typical High $691.83 | Professional | 26 · Professional part | $194.98 | $446.68 | $691.83 |
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 $398.11 Median $870.96 Typical High $1,737.80 | Professional | None (both parts) | $398.11 | $870.96 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $269.15 Typical High $588.84 | Professional | 26 · Professional part | $123.03 | $269.15 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $602.56 Typical High $1,348.96 | Professional | TC · Technical part | $263.03 | $602.56 | $1,348.96 |
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 $97.72 Median $131.83 Typical High $147.91 | Professional | 80 · Assistant surgeon | $97.72 | $131.83 | $147.91 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $97.72 | $131.83 | $147.91 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $131.83 | $147.91 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | AS · PA/NP assist | $85.11 | $114.82 | $128.82 |
Where Wisconsin sits
The same service costs 5.1 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· 2nd of 51
$871
AK $1,047UT $204
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.