How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $12,589Professionalmedian $363 · 10th to 90th $145 to $1,413
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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $1,584.89 | Professional | None (both parts) | $194.98 | $194.98 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $933.25 | Professional | 26 · Professional part | $89.13 | $89.13 | $933.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $93.33 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $125.89 | $478.63 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $234.42 Typical High $467.74 | Professional | 26 · Professional part | $57.54 | $234.42 | $467.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $70.79 | $275.42 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $588.84 | Facility | None | $346.74 | $398.11 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $724.44 | Professional | None (both parts) | $186.21 | $223.87 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $295.12 | Professional | 26 · Professional part | $75.86 | $95.50 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $120.23 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $11,220.18 Typical High $15,135.61 | Facility | None | $144.54 | $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 $234.42 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $234.42 | $323.59 | $363.08 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $147.91 | $165.96 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $173.78 | $194.98 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $8,128.31 | Facility | None | $114.82 | $151.36 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $660.69 Typical High $3,162.28 | Professional | None (both parts) | $190.55 | $660.69 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $269.15 Typical High $630.96 | Professional | 26 · Professional part | $74.13 | $269.15 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $380.19 Typical High $2,818.38 | Professional | TC · Technical part | $109.65 | $380.19 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $331.13 | Facility | None | $204.17 | $204.17 | $331.13 |
Network Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $190.55 | $309.03 | $512.86 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $239.88 | Professional | 26 · Professional part | $85.11 | $102.33 | $239.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $204.17 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $275.42 | Facility | None | $114.82 | $144.54 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $660.69 | Professional | None | $141.25 | $295.12 | $660.69 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $186.21 | $186.21 | $489.78 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $85.11 | $85.11 | $208.93 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $100.00 | $100.00 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $812.83 Typical High $933.25 | Professional | None (both parts) | $309.03 | $812.83 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $194.98 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $194.98 | $354.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $199.53 | $575.44 |
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 $154.88 Median $346.74 Typical High $794.33 | Professional | None (both parts) | $154.88 | $346.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $138.04 Typical High $275.42 | Professional | 26 · Professional part | $67.61 | $138.04 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $190.55 Typical High $457.09 | Professional | TC · Technical part | $85.11 | $190.55 | $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 $97.72 Median $97.72 Typical High $812.83 | Professional | 52 · Reduced service | $97.72 | $97.72 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $323.59 | Professional | 53 · Discontinued | $38.90 | $38.90 | $323.59 |
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 $38.02 Median $51.29 Typical High $57.54 | Professional | 80 · Assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $45.71 Typical High $50.12 | Professional | AS · PA/NP assist | $33.11 | $45.71 | $50.12 |
Where Wisconsin sits
The same service costs 5.4 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
$363
AK $407UT $75.86
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.