How much rates vary
Facilitymedian $417 · 10th to 90th $174 to $12,589Professionalmedian $427 · 10th to 90th $178 to $1,585
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 $234.42 Typical High $234.42 | Facility | None | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $1,778.28 | Professional | None (both parts) | $234.42 | $234.42 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $776.25 | Professional | 26 · Professional part | $81.28 | $81.28 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $144.54 | $151.36 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $588.84 Typical High $1,230.27 | Professional | None (both parts) | $147.91 | $588.84 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $213.80 Typical High $436.52 | Professional | 26 · Professional part | $52.48 | $213.80 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $380.19 Typical High $794.33 | Professional | TC · Technical part | $95.50 | $380.19 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $478.63 Typical High $707.95 | Facility | None | $416.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $223.87 | $269.15 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $257.04 | Professional | 26 · Professional part | $69.18 | $89.13 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $562.34 | Professional | TC · Technical part | $144.54 | $173.78 | $562.34 |
DeanCare Setting Facility Modifier None Typical Low $173.78 Median $11,220.18 Typical High $15,135.61 | Facility | None | $173.78 | $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 $281.84 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $281.84 | $389.05 | $436.52 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $134.90 | $151.36 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $186.21 | $251.19 | $288.40 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $8,128.31 | Facility | None | $134.90 | $181.97 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $741.31 Typical High $3,090.30 | Professional | None (both parts) | $208.93 | $741.31 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $245.47 Typical High $467.74 | Professional | 26 · Professional part | $67.61 | $245.47 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $501.19 Typical High $2,818.38 | Professional | TC · Technical part | $138.04 | $501.19 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $338.84 | Facility | None | $234.42 | $234.42 | $338.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $218.78 | $323.59 | $588.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $91.20 | $218.78 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $229.09 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $316.23 | Facility | None | $134.90 | $173.78 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $758.58 | Professional | None | $165.96 | $346.74 | $758.58 |
Quartz Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $223.87 | $223.87 | $575.44 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $77.62 | $190.55 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $144.54 | $371.54 |
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 $354.81 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $954.99 | $1,071.52 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $309.03 | Professional | 26 · Professional part | $107.15 | $138.04 | $309.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $208.93 | $263.03 | $645.65 |
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 $398.11 Typical High $912.01 | Professional | None (both parts) | $177.83 | $398.11 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $58.88 | $125.89 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $251.19 Typical High $602.56 | Professional | TC · Technical part | $112.20 | $251.19 | $602.56 |
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 $114.82 Median $114.82 Typical High $891.25 | Professional | 52 · Reduced service | $114.82 | $114.82 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $354.81 | Professional | 53 · Discontinued | $46.77 | $46.77 | $354.81 |
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 $45.71 Median $61.66 Typical High $69.18 | Professional | 80 · Assistant surgeon | $45.71 | $61.66 | $69.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $61.66 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $45.71 | $61.66 | $69.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $61.66 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $61.66 | $69.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $53.70 Typical High $60.26 | Professional | AS · PA/NP assist | $39.81 | $53.70 | $60.26 |
Where Wisconsin sits
The same service costs 4.4 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
$427
AK $457UT $105
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.