How much rates vary
Facilitymedian $389 · 10th to 90th $158 to $13,804Professionalmedian $389 · 10th to 90th $166 to $1,479
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 $213.80 Typical High $213.80 | Facility | None | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $3,162.28 | Professional | None (both parts) | $213.80 | $213.80 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $1,412.54 | Professional | 26 · Professional part | $56.23 | $75.86 | $1,412.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $120.23 | $138.04 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $549.54 Typical High $1,148.15 | Professional | None (both parts) | $144.54 | $549.54 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $199.53 Typical High $407.38 | Professional | 26 · Professional part | $50.12 | $199.53 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $87.10 | $346.74 | $741.31 |
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 $245.47 Typical High $812.83 | Professional | None (both parts) | $208.93 | $245.47 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $66.07 | $83.18 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $524.81 | Professional | TC · Technical part | $134.90 | $158.49 | $524.81 |
DeanCare Setting Facility Modifier None Typical Low $158.49 Median $11,220.18 Typical High $15,135.61 | Facility | None | $158.49 | $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 $263.03 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $263.03 | $363.08 | $398.11 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $128.82 | $141.25 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $229.09 | $263.03 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $13,803.84 | Facility | None | $123.03 | $169.82 | $13,803.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $707.95 Typical High $3,090.30 | Professional | None (both parts) | $199.53 | $707.95 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $229.09 Typical High $645.65 | Professional | 26 · Professional part | $63.10 | $229.09 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $467.74 Typical High $2,818.38 | Professional | TC · Technical part | $131.83 | $467.74 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Facility | None | $213.80 | $213.80 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $204.17 | $331.13 | $549.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $89.13 | $204.17 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $239.88 | $363.08 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $295.12 | Facility | None | $123.03 | $158.49 | $295.12 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $707.95 | Professional | None | $158.49 | $331.13 | $707.95 |
Quartz Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $208.93 | $208.93 | $537.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $74.13 | $177.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $338.84 | Professional | TC · Technical part | $134.90 | $134.90 | $338.84 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $891.25 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $302.00 | Professional | 26 · Professional part | $120.23 | $151.36 | $302.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $239.88 | $691.83 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $263.03 Typical High $416.87 | Professional | 26 · Professional part | $128.82 | $263.03 | $416.87 |
United Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $162.18 | $363.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $57.54 | $120.23 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $229.09 Typical High $549.54 | Professional | TC · Technical part | $102.33 | $229.09 | $549.54 |
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 $107.15 Median $107.15 Typical High $1,621.81 | Professional | 52 · Reduced service | $107.15 | $107.15 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $645.65 | Professional | 53 · Discontinued | $43.65 | $43.65 | $645.65 |
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 $57.54 Typical High $64.57 | Professional | 80 · Assistant surgeon | $42.66 | $57.54 | $64.57 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $57.54 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $42.66 | $57.54 | $64.57 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $57.54 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $57.54 | $64.57 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $50.12 Typical High $56.23 | Professional | AS · PA/NP assist | $37.15 | $50.12 | $56.23 |
Where Wisconsin sits
The same service costs 4.2 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
$389
AK $437UT $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.