How much rates vary
Facilitymedian $363 · 10th to 90th $151 to $4,467Professionalmedian $380 · 10th to 90th $155 to $1,445
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 $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $1,659.59 | Professional | None (both parts) | $204.17 | $204.17 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $794.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $123.03 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $524.81 Typical High $1,071.52 | Professional | None (both parts) | $128.82 | $524.81 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $204.17 Typical High $416.87 | Professional | 26 · Professional part | $51.29 | $204.17 | $416.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $316.23 Typical High $660.69 | Professional | TC · Technical part | $79.43 | $316.23 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $758.58 | Professional | None (both parts) | $194.98 | $234.42 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $85.11 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $144.54 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $144.54 | $467.74 |
DeanCare Setting Facility Modifier None Typical Low $151.36 Median $3,630.78 Typical High $4,897.79 | Facility | None | $151.36 | $3,630.78 | $4,897.79 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $3,162.28 Median $3,890.45 Typical High $4,897.79 | Facility | TC · Technical part | $3,162.28 | $3,890.45 | $4,897.79 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $251.19 | $338.84 | $380.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $131.83 | $144.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $208.93 | $239.88 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $8,128.31 | Facility | None | $117.49 | $162.18 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $676.08 Typical High $3,090.30 | Professional | None (both parts) | $194.98 | $676.08 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $239.88 Typical High $537.03 | Professional | 26 · Professional part | $66.07 | $239.88 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $426.58 Typical High $2,818.38 | Professional | TC · Technical part | $120.23 | $426.58 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $346.74 | Facility | None | $208.93 | $208.93 | $346.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $194.98 | $323.59 | $524.81 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $89.13 | $208.93 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $229.09 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $281.84 | Facility | None | $117.49 | $151.36 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $309.03 Typical High $676.08 | Professional | None | $147.91 | $309.03 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $194.98 | $194.98 | $512.86 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $74.13 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $120.23 | $309.03 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $316.23 | $851.14 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $316.23 | Professional | 26 · Professional part | $104.71 | $138.04 | $316.23 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $660.69 | Professional | TC · Technical part | $177.83 | $223.87 | $660.69 |
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 $354.81 Typical High $812.83 | Professional | None (both parts) | $154.88 | $354.81 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $125.89 Typical High $275.42 | Professional | 26 · Professional part | $60.26 | $125.89 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $93.33 | $213.80 | $512.86 |
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 $102.33 Median $102.33 Typical High $831.76 | Professional | 52 · Reduced service | $102.33 | $102.33 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $331.13 | Professional | 53 · Discontinued | $40.74 | $40.74 | $331.13 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $501.19 Median $616.60 Typical High $794.33 | Facility | 80 · Assistant surgeon | $501.19 | $616.60 | $794.33 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $616.60 Typical High $794.33 | Facility | 81 · Minimal assistant surgeon | $501.19 | $616.60 | $794.33 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $616.60 Typical High $794.33 | Facility | 82 · Assistant surgeon, no resident | $501.19 | $616.60 | $794.33 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $436.52 Median $549.54 Typical High $691.83 | Facility | AS · PA/NP assist | $436.52 | $549.54 | $691.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $53.70 Typical High $60.26 | Professional | 80 · Assistant surgeon | $39.81 | $53.70 | $60.26 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $53.70 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $39.81 | $53.70 | $60.26 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $53.70 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $53.70 | $60.26 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $47.86 Typical High $52.48 | Professional | AS · PA/NP assist | $34.67 | $47.86 | $52.48 |
Where Wisconsin sits
The same service costs 4.3 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
$380
AK $407UT $95.50
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.