How much rates vary
Facilitymedian $427 · 10th to 90th $178 to $12,589Professionalmedian $447 · 10th to 90th $191 to $1,660
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 $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $1,862.09 | Professional | None (both parts) | $239.88 | $239.88 | $1,862.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $134.90 Typical High $1,288.25 | Professional | 26 · Professional part | $87.10 | $134.90 | $1,288.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $107.15 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $630.96 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $630.96 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $295.12 Typical High $602.56 | Professional | 26 · Professional part | $87.10 | $295.12 | $602.56 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $288.40 Typical High $758.58 | Professional | TC · Technical part | $70.79 | $288.40 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $724.44 | Facility | None | $426.58 | $489.78 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $912.01 | Professional | None (both parts) | $229.09 | $275.42 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $363.08 | Professional | 26 · Professional part | $100.00 | $134.90 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $131.83 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $11,220.18 Typical High $15,135.61 | Facility | None | $177.83 | $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 $295.12 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $295.12 | $398.11 | $446.68 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $223.87 Typical High $251.19 | Professional | 26 · Professional part | $162.18 | $223.87 | $251.19 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $131.83 | $177.83 | $213.80 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $190.55 Typical High $8,128.31 | Facility | None | $141.25 | $190.55 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $794.33 Typical High $3,162.28 | Professional | None (both parts) | $234.42 | $794.33 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $407.38 Typical High $676.08 | Professional | 26 · Professional part | $97.72 | $407.38 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $436.52 Typical High $2,818.38 | Professional | TC · Technical part | $112.20 | $436.52 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $436.52 | Facility | None | $251.19 | $251.19 | $436.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $234.42 | $389.05 | $630.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $354.81 | Professional | 26 · Professional part | $102.33 | $128.82 | $354.81 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $288.40 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $346.74 | Facility | None | $141.25 | $177.83 | $346.74 |
Quartz Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $851.14 | Professional | None | $181.97 | $371.54 | $851.14 |
Quartz Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $602.56 | Professional | None (both parts) | $229.09 | $229.09 | $602.56 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $302.00 | Professional | 26 · Professional part | $128.82 | $128.82 | $302.00 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $102.33 | $102.33 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Security Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $1,000.00 Typical High $1,230.27 | Professional | None (both parts) | $398.11 | $1,000.00 | $1,230.27 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $165.96 Typical High $354.81 | Professional | 26 · Professional part | $120.23 | $165.96 | $354.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $870.96 | Professional | TC · Technical part | $223.87 | $263.03 | $870.96 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $281.84 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $281.84 | $691.83 | $1,230.27 |
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 $190.55 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $190.55 | $426.58 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $186.21 Typical High $407.38 | Professional | 26 · Professional part | $79.43 | $186.21 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $204.17 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $204.17 | $524.81 |
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 $120.23 Median $120.23 Typical High $954.99 | Professional | 52 · Reduced service | $120.23 | $120.23 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $380.19 | Professional | 53 · Discontinued | $47.86 | $47.86 | $380.19 |
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 $46.77 Median $64.57 Typical High $70.79 | Professional | 80 · Assistant surgeon | $46.77 | $64.57 | $70.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $64.57 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $46.77 | $64.57 | $70.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $64.57 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $64.57 | $70.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $56.23 Typical High $63.10 | Professional | AS · PA/NP assist | $41.69 | $56.23 | $63.10 |
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
$447
AK $513UT $100
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.