How much rates vary
Facilitymedian $324 · 10th to 90th $132 to $12,589Professionalmedian $331 · 10th to 90th $145 to $1,318
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 $177.83 Median $177.83 Typical High $199.53 | Facility | None | $177.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $2,089.30 | Professional | None (both parts) | $177.83 | $177.83 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $1,096.48 | Professional | 26 · Professional part | $57.54 | $75.86 | $1,096.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $81.28 | $102.33 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $117.49 | $467.74 | $954.99 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $199.53 Typical High $407.38 | Professional | 26 · Professional part | $48.98 | $199.53 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $269.15 Typical High $549.54 | Professional | TC · Technical part | $70.79 | $269.15 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $549.54 | Facility | None | $323.59 | $363.08 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $676.08 | Professional | None (both parts) | $169.82 | $204.17 | $676.08 |
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 $97.72 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $97.72 | $117.49 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $131.83 Median $11,220.18 Typical High $15,135.61 | Facility | None | $131.83 | $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 $218.78 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $218.78 | $302.00 | $331.13 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $125.89 | $141.25 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $173.78 | $194.98 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $229.09 Typical High $8,128.31 | Facility | None | $109.65 | $229.09 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $616.60 Typical High $3,311.31 | Professional | None (both parts) | $177.83 | $616.60 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $229.09 Typical High $575.44 | Professional | 26 · Professional part | $63.10 | $229.09 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $380.19 Typical High $2,818.38 | Professional | TC · Technical part | $104.71 | $380.19 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $323.59 | Facility | None | $186.21 | $186.21 | $323.59 |
Network Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $173.78 | $302.00 | $478.63 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $93.33 | $204.17 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $204.17 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $257.04 | Facility | None | $104.71 | $131.83 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $269.15 Typical High $616.60 | Professional | None | $131.83 | $269.15 | $616.60 |
Quartz Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $457.09 | Professional | None (both parts) | $169.82 | $169.82 | $457.09 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $72.44 | $177.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $97.72 | $257.04 |
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 $288.40 Median $741.31 Typical High $912.01 | Professional | None (both parts) | $288.40 | $741.31 | $912.01 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $323.59 | Professional | 26 · Professional part | $102.33 | $131.83 | $323.59 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $575.44 | Professional | TC · Technical part | $154.88 | $194.98 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $263.03 Typical High $416.87 | Professional | 26 · Professional part | $151.36 | $263.03 | $416.87 |
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 $141.25 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $141.25 | $323.59 | $741.31 |
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 $81.28 Median $190.55 Typical High $446.68 | Professional | TC · Technical part | $81.28 | $190.55 | $446.68 |
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 $89.13 Median $89.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $416.87 | Professional | 53 · Discontinued | $35.48 | $35.48 | $416.87 |
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 $34.67 Median $47.86 Typical High $53.70 | Professional | 80 · Assistant surgeon | $34.67 | $47.86 | $53.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $47.86 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $34.67 | $47.86 | $53.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $47.86 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $47.86 | $53.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $41.69 Typical High $46.77 | Professional | AS · PA/NP assist | $30.90 | $41.69 | $46.77 |
Where Wisconsin sits
The same service costs 4.9 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
$331
AK $372UT $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.