How much rates vary
Facilitymedian $468 · 10th to 90th $191 to $12,589Professionalmedian $468 · 10th to 90th $195 to $1,738
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 $263.03 Typical High $263.03 | Facility | None | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $1,949.84 | Professional | None (both parts) | $263.03 | $263.03 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $851.14 | Professional | 26 · Professional part | $91.20 | $91.20 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $158.49 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $660.69 Typical High $1,380.38 | Professional | None (both parts) | $169.82 | $660.69 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $239.88 Typical High $489.78 | Professional | 26 · Professional part | $58.88 | $239.88 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $416.87 Typical High $891.25 | Professional | TC · Technical part | $104.71 | $416.87 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $537.03 Typical High $794.33 | Facility | None | $467.74 | $537.03 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $977.24 | Professional | None (both parts) | $251.19 | $302.00 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $295.12 | Professional | 26 · Professional part | $79.43 | $97.72 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $194.98 | $630.96 |
DeanCare Setting Facility Modifier None Typical Low $190.55 Median $11,220.18 Typical High $15,135.61 | Facility | None | $190.55 | $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 $316.23 Median $436.52 Typical High $478.63 | Professional | None (both parts) | $316.23 | $436.52 | $478.63 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $151.36 | $169.82 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $275.42 | $316.23 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $8,128.31 | Facility | None | $147.91 | $204.17 | $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 $75.86 Median $275.42 Typical High $676.08 | Professional | 26 · Professional part | $75.86 | $275.42 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $537.03 Typical High $2,818.38 | Professional | TC · Technical part | $151.36 | $537.03 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $426.58 | Facility | None | $257.04 | $257.04 | $426.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $239.88 | $389.05 | $630.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $104.71 | $245.47 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $151.36 | $281.84 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $147.91 Median $190.55 Typical High $338.84 | Facility | None | $147.91 | $190.55 | $338.84 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $398.11 Typical High $812.83 | Professional | None | $194.98 | $398.11 | $812.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $251.19 | $251.19 | $645.65 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $87.10 | $213.80 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $407.38 | Professional | TC · Technical part | $162.18 | $162.18 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Security Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $380.19 | $1,071.52 | $1,202.26 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $354.81 | Professional | 26 · Professional part | $120.23 | $154.88 | $354.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $831.76 | Professional | TC · Technical part | $223.87 | $281.84 | $831.76 |
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 $977.24 | Professional | None (both parts) | $190.55 | $426.58 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $69.18 | $141.25 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $117.49 | $263.03 | $645.65 |
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 $128.82 Median $128.82 Typical High $1,000.00 | Professional | 52 · Reduced service | $128.82 | $128.82 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $398.11 | Professional | 53 · Discontinued | $52.48 | $52.48 | $398.11 |
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 $51.29 Median $69.18 Typical High $77.62 | Professional | 80 · Assistant surgeon | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $69.18 | $77.62 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $60.26 Typical High $67.61 | Professional | AS · PA/NP assist | $44.67 | $60.26 | $67.61 |
Where Wisconsin sits
The same service costs 4.4 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
$468
AK $513TX $117
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.