How much rates vary
Facilitymedian $617 · 10th to 90th $275 to $1,905Professionalmedian $1,072 · 10th to 90th $447 to $4,074
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 $549.54 Typical High $549.54 | Facility | None | $199.53 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $4,677.35 | Professional | None (both parts) | $457.09 | $549.54 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $208.93 Typical High $1,348.96 | Professional | 26 · Professional part | $117.49 | $208.93 | $1,348.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,659.59 Typical High $3,548.13 | Professional | None (both parts) | $407.38 | $1,659.59 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $436.52 Typical High $1,071.52 | Professional | 26 · Professional part | $109.65 | $436.52 | $1,071.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $1,174.90 Typical High $2,454.71 | Professional | TC · Technical part | $302.00 | $1,174.90 | $2,454.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $141.25 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $141.25 | $363.08 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,288.25 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $660.69 Typical High $2,187.76 | Professional | None (both parts) | $588.84 | $660.69 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $549.54 | Professional | 26 · Professional part | $128.82 | $177.83 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $478.63 Typical High $1,621.81 | Professional | TC · Technical part | $398.11 | $478.63 | $1,621.81 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $1,230.27 Typical High $1,737.80 | Facility | None | $331.13 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,096.48 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,047.13 Typical High $1,174.90 | Professional | None (both parts) | $776.25 | $1,047.13 | $1,174.90 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $281.84 Typical High $309.03 | Professional | 26 · Professional part | $204.17 | $281.84 | $309.03 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $758.58 Typical High $851.14 | Professional | TC · Technical part | $562.34 | $758.58 | $851.14 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $5,248.07 | Facility | None | $281.84 | $562.34 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,737.80 Typical High $4,786.30 | Professional | None (both parts) | $537.03 | $1,737.80 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $512.86 Typical High $1,621.81 | Professional | 26 · Professional part | $141.25 | $512.86 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,380.38 Typical High $3,630.78 | Professional | TC · Technical part | $389.05 | $1,380.38 | $3,630.78 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Facility | None | $660.69 | $660.69 | $912.01 |
Network Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $1,548.82 | Professional | None (both parts) | $616.60 | $794.33 | $1,548.82 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $186.21 Typical High $446.68 | Professional | 26 · Professional part | $162.18 | $186.21 | $446.68 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $1,258.93 | Professional | TC · Technical part | $467.74 | $616.60 | $1,258.93 |
Prevea360 Setting Facility Modifier None Typical Low $275.42 Median $562.34 Typical High $758.58 | Facility | None | $275.42 | $562.34 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $1,862.09 | Professional | None | $457.09 | $933.25 | $1,862.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $1,445.44 | Professional | None (both parts) | $602.56 | $602.56 | $1,445.44 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $162.18 Typical High $398.11 | Professional | 26 · Professional part | $134.90 | $162.18 | $398.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $436.52 Typical High $1,047.13 | Professional | TC · Technical part | $398.11 | $436.52 | $1,047.13 |
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 $1,122.02 Median $1,819.70 Typical High $2,570.40 | Professional | None (both parts) | $1,122.02 | $1,819.70 | $2,570.40 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $660.69 | Professional | 26 · Professional part | $275.42 | $398.11 | $660.69 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $912.01 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $912.01 | $1,905.46 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,122.02 Typical High $2,818.38 | Professional | None (both parts) | $616.60 | $1,122.02 | $2,818.38 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $549.54 Typical High $724.44 | Professional | 26 · Professional part | $204.17 | $549.54 | $724.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,023.29 Typical High $2,137.96 | Professional | None (both parts) | $478.63 | $1,023.29 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $269.15 Typical High $575.44 | Professional | 26 · Professional part | $128.82 | $269.15 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $758.58 Typical High $1,548.82 | Professional | TC · Technical part | $346.74 | $758.58 | $1,548.82 |
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 $275.42 Median $275.42 Typical High $2,344.23 | Professional | 52 · Reduced service | $275.42 | $275.42 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $933.25 | Professional | 53 · Discontinued | $109.65 | $109.65 | $933.25 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 80 · Assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 81 · Minimal assistant surgeon | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $218.78 Typical High $275.42 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $218.78 | $275.42 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $190.55 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $190.55 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $165.96 Typical High $186.21 | Professional | 80 · Assistant surgeon | $123.03 | $165.96 | $186.21 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $123.03 Median $165.96 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $123.03 | $165.96 | $186.21 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $123.03 Median $165.96 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $123.03 | $165.96 | $186.21 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $147.91 Typical High $162.18 | Professional | AS · PA/NP assist | $107.15 | $147.91 | $162.18 |
Where Wisconsin sits
The same service costs 6.8 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
$1,047
AK $1,148UT $170
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.