How much rates vary
Facilitymedian $316 · 10th to 90th $129 to $4,169Professionalmedian $331 · 10th to 90th $141 to $1,288
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 $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $1,995.26 | Professional | None (both parts) | $173.78 | $173.78 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $1,096.48 | Professional | 26 · Professional part | $54.95 | $77.62 | $1,096.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $97.72 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $114.82 | $457.09 | $933.25 |
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 $67.61 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $67.61 | $257.04 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $537.03 | Facility | None | $316.23 | $354.81 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $660.69 | Professional | None (both parts) | $165.96 | $199.53 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $83.18 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $93.33 | $114.82 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $3,630.78 Typical High $4,897.79 | Facility | None | $128.82 | $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 $213.80 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $213.80 | $288.40 | $323.59 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $162.18 | $181.97 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $3,981.07 | Facility | None | $104.71 | $138.04 | $3,981.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $616.60 Typical High $3,388.44 | Professional | None (both parts) | $173.78 | $616.60 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $234.42 Typical High $630.96 | Professional | 26 · Professional part | $64.57 | $234.42 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $371.54 Typical High $2,884.03 | Professional | TC · Technical part | $102.33 | $371.54 | $2,884.03 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $309.03 | Facility | None | $186.21 | $186.21 | $309.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $173.78 | $295.12 | $467.74 |
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 $100.00 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $204.17 | $275.42 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $257.04 | Facility | None | $104.71 | $128.82 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $602.56 | Professional | None | $131.83 | $269.15 | $602.56 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | None (both parts) | $165.96 | $165.96 | $446.68 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $74.13 | $181.97 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $93.33 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $281.84 | $741.31 | $870.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $134.90 Typical High $309.03 | Professional | 26 · Professional part | $120.23 | $134.90 | $309.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $562.34 | Professional | TC · Technical part | $147.91 | $190.55 | $562.34 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $416.87 Typical High $416.87 | Professional | 26 · Professional part | $147.91 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $316.23 Typical High $724.44 | Professional | None (both parts) | $141.25 | $316.23 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $58.88 | $120.23 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $186.21 Typical High $436.52 | Professional | TC · Technical part | $79.43 | $186.21 | $436.52 |
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 $87.10 Median $87.10 Typical High $1,000.00 | Professional | 52 · Reduced service | $87.10 | $87.10 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $398.11 | Professional | 53 · Discontinued | $34.67 | $34.67 | $398.11 |
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 $33.88 Median $46.77 Typical High $51.29 | Professional | 80 · Assistant surgeon | $33.88 | $46.77 | $51.29 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $46.77 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $33.88 | $46.77 | $51.29 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $46.77 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $46.77 | $51.29 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $40.74 Typical High $45.71 | Professional | AS · PA/NP assist | $30.20 | $40.74 | $45.71 |
Where Wisconsin sits
The same service costs 4.8 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· 3rd of 51
$331
AK $363UT $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.