How much rates vary
Facilitymedian $339 · 10th to 90th $141 to $4,467Professionalmedian $355 · 10th to 90th $148 to $1,349
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 $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $1,949.84 | Professional | None (both parts) | $190.55 | $190.55 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $1,023.29 | Professional | 26 · Professional part | $72.44 | $79.43 | $1,023.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $489.78 Typical High $1,000.00 | Professional | None (both parts) | $131.83 | $489.78 | $1,000.00 |
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 $74.13 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $74.13 | $281.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $575.44 | Facility | None | $338.84 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $707.95 | Professional | None (both parts) | $181.97 | $218.78 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $263.03 | Professional | 26 · Professional part | $66.07 | $85.11 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $407.38 | Professional | TC · Technical part | $104.71 | $125.89 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $3,630.78 Typical High $4,897.79 | Facility | None | $141.25 | $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 $229.09 Median $316.23 Typical High $346.74 | Professional | None (both parts) | $229.09 | $316.23 | $346.74 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $131.83 | $147.91 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $181.97 | $204.17 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $8,128.31 | Facility | None | $109.65 | $147.91 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $630.96 Typical High $3,090.30 | Professional | None (both parts) | $181.97 | $630.96 | $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 $109.65 Median $389.05 Typical High $2,818.38 | Professional | TC · Technical part | $109.65 | $389.05 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $316.23 | Facility | None | $199.53 | $199.53 | $316.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $186.21 | $295.12 | $501.19 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $91.20 | $208.93 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $208.93 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $269.15 | Facility | None | $109.65 | $141.25 | $269.15 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $630.96 | Professional | None | $144.54 | $295.12 | $630.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $478.63 | Professional | None (both parts) | $181.97 | $181.97 | $478.63 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $75.86 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $275.42 | Professional | TC · Technical part | $104.71 | $104.71 | $275.42 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Security Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $776.25 Typical High $891.25 | Professional | None (both parts) | $295.12 | $776.25 | $891.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $134.90 | $309.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $331.13 | $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 $147.91 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $147.91 | $338.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $128.82 Typical High $275.42 | Professional | 26 · Professional part | $60.26 | $128.82 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $87.10 | $199.53 | $467.74 |
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 $93.33 Median $93.33 Typical High $1,000.00 | Professional | 52 · Reduced service | $93.33 | $93.33 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $398.11 | Professional | 53 · Discontinued | $38.02 | $38.02 | $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 $37.15 Median $50.12 Typical High $56.23 | Professional | 80 · Assistant surgeon | $37.15 | $50.12 | $56.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $50.12 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $37.15 | $50.12 | $56.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $50.12 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $50.12 | $56.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $43.65 Typical High $48.98 | Professional | AS · PA/NP assist | $32.36 | $43.65 | $48.98 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$355
AK $389TX $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.