How much rates vary
Facilitymedian $389 · 10th to 90th $162 to $12,589Professionalmedian $407 · 10th to 90th $174 to $1,514
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 $218.78 Typical High $218.78 | Facility | None | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $218.78 Typical High $2,398.83 | Professional | None (both parts) | $213.80 | $218.78 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $1,621.81 | Professional | 26 · Professional part | $77.62 | $117.49 | $1,621.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $81.28 | $100.00 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $575.44 Typical High $1,148.15 | Professional | None (both parts) | $151.36 | $575.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $263.03 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $263.03 | $524.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $275.42 Typical High $660.69 | Professional | TC · Technical part | $70.79 | $275.42 | $660.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $79.43 | $107.15 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $660.69 | Facility | None | $389.05 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $831.76 | Professional | None (both parts) | $208.93 | $251.19 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $323.59 | Professional | 26 · Professional part | $91.20 | $123.03 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $389.05 | Professional | TC · Technical part | $95.50 | $123.03 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $11,220.18 Typical High $15,135.61 | Facility | None | $162.18 | $11,220.18 | $15,135.61 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $9,772.37 Median $12,022.64 Typical High $15,135.61 | Facility | TC · Technical part | $9,772.37 | $12,022.64 | $15,135.61 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $407.38 | Professional | None (both parts) | $269.15 | $363.08 | $407.38 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $194.98 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $194.98 | $218.78 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $169.82 | $186.21 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $8,128.31 | Facility | None | $131.83 | $173.78 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $741.31 Typical High $3,090.30 | Professional | None (both parts) | $204.17 | $741.31 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $363.08 Typical High $549.54 | Professional | 26 · Professional part | $87.10 | $363.08 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $398.11 Typical High $2,818.38 | Professional | TC · Technical part | $109.65 | $398.11 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $363.08 | Facility | None | $234.42 | $234.42 | $363.08 |
Network Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $218.78 | $331.13 | $588.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $316.23 | Professional | 26 · Professional part | $89.13 | $112.20 | $316.23 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $245.47 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $323.59 | Facility | None | $131.83 | $162.18 | $323.59 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $338.84 Typical High $758.58 | Professional | None | $165.96 | $338.84 | $758.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $562.34 | Professional | None (both parts) | $208.93 | $208.93 | $562.34 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $112.20 | $257.04 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $95.50 | $257.04 |
Security Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $912.01 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $912.01 | $1,047.13 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $309.03 | Professional | 26 · Professional part | $91.20 | $144.54 | $309.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $239.88 | $724.44 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $257.04 Median $630.96 Typical High $1,122.02 | Professional | None (both parts) | $257.04 | $630.96 | $1,122.02 |
United Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $177.83 | $389.05 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $165.96 Typical High $363.08 | Professional | 26 · Professional part | $69.18 | $165.96 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $83.18 | $194.98 | $457.09 |
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 $109.65 Median $109.65 Typical High $1,202.26 | Professional | 52 · Reduced service | $109.65 | $109.65 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $489.78 | Professional | 53 · Discontinued | $43.65 | $43.65 | $489.78 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $1,548.82 Median $1,949.84 Typical High $2,454.71 | Facility | 80 · Assistant surgeon | $1,548.82 | $1,949.84 | $2,454.71 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $1,548.82 Median $1,949.84 Typical High $2,454.71 | Facility | 81 · Minimal assistant surgeon | $1,548.82 | $1,949.84 | $2,454.71 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $1,548.82 Median $1,949.84 Typical High $2,454.71 | Facility | 82 · Assistant surgeon, no resident | $1,548.82 | $1,949.84 | $2,454.71 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $1,380.38 Median $1,698.24 Typical High $2,137.96 | Facility | AS · PA/NP assist | $1,380.38 | $1,698.24 | $2,137.96 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $58.88 Typical High $64.57 | Professional | 80 · Assistant surgeon | $42.66 | $58.88 | $64.57 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $58.88 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $42.66 | $58.88 | $64.57 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $58.88 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $58.88 | $64.57 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $51.29 Typical High $56.23 | Professional | AS · PA/NP assist | $37.15 | $51.29 | $56.23 |
Where Wisconsin sits
The same service costs 4.1 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
$407
AK $468TX $115
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.