How much rates vary
Facilitymedian $437 · 10th to 90th $178 to $1,738Professionalmedian $447 · 10th to 90th $191 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 $199.53 Median $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $1,698.24 | Professional | None (both parts) | $239.88 | $239.88 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $724.44 | Professional | 26 · Professional part | $85.11 | $85.11 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $144.54 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $602.56 Typical High $1,288.25 | Professional | None (both parts) | $147.91 | $602.56 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $218.78 Typical High $457.09 | Professional | 26 · Professional part | $54.95 | $218.78 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $102.33 | $380.19 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $501.19 Typical High $741.31 | Facility | None | $436.52 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $229.09 | $275.42 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $263.03 | Professional | 26 · Professional part | $66.07 | $93.33 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $549.54 | Professional | TC · Technical part | $147.91 | $177.83 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $1,380.38 Typical High $1,905.46 | Facility | None | $177.83 | $1,380.38 | $1,905.46 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $1,905.46 | Facility | TC · Technical part | $1,202.26 | $1,479.11 | $1,905.46 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $295.12 | $371.54 | $446.68 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $141.25 | $158.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $239.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $8,128.31 | Facility | None | $134.90 | $190.55 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $758.58 Typical High $3,090.30 | Professional | None (both parts) | $218.78 | $758.58 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $257.04 Typical High $489.78 | Professional | 26 · Professional part | $69.18 | $257.04 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $478.63 Typical High $2,818.38 | Professional | TC · Technical part | $138.04 | $478.63 | $2,818.38 |
Network Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Facility | None | $251.19 | $251.19 | $316.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $616.60 | Professional | None (both parts) | $234.42 | $295.12 | $616.60 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $223.87 | Professional | 26 · Professional part | $81.28 | $89.13 | $223.87 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $204.17 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $354.81 | Facility | None | $134.90 | $177.83 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $676.08 | Professional | None | $204.17 | $416.87 | $676.08 |
Quartz Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $229.09 | $229.09 | $588.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $81.28 | $199.53 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $371.54 | Professional | TC · Technical part | $147.91 | $147.91 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Security Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $912.01 Typical High $1,148.15 | Professional | None (both parts) | $309.03 | $912.01 | $1,148.15 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $316.23 | Professional | 26 · Professional part | $107.15 | $141.25 | $316.23 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $234.42 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | 26 · Professional part | $363.08 | $363.08 | $426.58 |
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 $186.21 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $186.21 | $416.87 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $61.66 | $131.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $117.49 | $275.42 | $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 $120.23 Median $120.23 Typical High $851.14 | Professional | 52 · Reduced service | $120.23 | $120.23 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $338.84 | Professional | 53 · Discontinued | $47.86 | $47.86 | $338.84 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 80 · Assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 81 · Minimal assistant surgeon | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | 82 · Assistant surgeon, no resident | $190.55 | $239.88 | $302.00 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $169.82 Median $208.93 Typical High $263.03 | Facility | AS · PA/NP assist | $169.82 | $208.93 | $263.03 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $60.26 Typical High $72.44 | Professional | 80 · Assistant surgeon | $47.86 | $60.26 | $72.44 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $47.86 Median $60.26 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $47.86 | $60.26 | $72.44 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $60.26 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $60.26 | $72.44 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $52.48 Typical High $63.10 | Professional | AS · PA/NP assist | $41.69 | $52.48 | $63.10 |
Where Wisconsin sits
The same service costs 3.8 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· 2nd of 51
$447
AK $468UT $123
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.