How much rates vary
Facilitymedian $347 · 10th to 90th $141 to $3,981Professionalmedian $372 · 10th to 90th $151 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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $1,621.81 | Professional | None (both parts) | $194.98 | $194.98 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $851.14 | Professional | 26 · Professional part | $81.28 | $81.28 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $109.65 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $125.89 | $501.19 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $213.80 Typical High $436.52 | Professional | 26 · Professional part | $52.48 | $213.80 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $74.13 | $288.40 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $588.84 | Facility | None | $346.74 | $398.11 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $724.44 | Professional | None (both parts) | $186.21 | $223.87 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $263.03 | Professional | 26 · Professional part | $67.61 | $89.13 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $426.58 | Professional | TC · Technical part | $107.15 | $128.82 | $426.58 |
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 $234.42 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $234.42 | $323.59 | $354.81 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $134.90 | $151.36 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $186.21 | $208.93 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $1,584.89 | Facility | None | $112.20 | $151.36 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $660.69 Typical High $3,548.13 | Professional | None (both parts) | $190.55 | $660.69 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $245.47 Typical High $616.60 | Professional | 26 · Professional part | $67.61 | $245.47 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $398.11 Typical High $3,019.95 | Professional | TC · Technical part | $114.82 | $398.11 | $3,019.95 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Facility | None | $204.17 | $204.17 | $316.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $190.55 | $446.68 | $512.86 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $97.72 | $218.78 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $302.00 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $302.00 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $275.42 | Facility | None | $112.20 | $141.25 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $660.69 | Professional | None | $138.04 | $288.40 | $660.69 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $186.21 | $186.21 | $489.78 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $77.62 | $190.55 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $107.15 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $812.83 Typical High $912.01 | Professional | None (both parts) | $316.23 | $812.83 | $912.01 |
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 $229.09 Typical High $575.44 | Professional | TC · Technical part | $177.83 | $229.09 | $575.44 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $338.84 Typical High $794.33 | Professional | None (both parts) | $151.36 | $338.84 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $125.89 Typical High $251.19 | Professional | 26 · Professional part | $61.66 | $125.89 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $89.13 | $208.93 | $478.63 |
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 $95.50 Median $95.50 Typical High $812.83 | Professional | 52 · Reduced service | $95.50 | $95.50 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $323.59 | Professional | 53 · Discontinued | $38.90 | $38.90 | $323.59 |
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 $38.02 Median $51.29 Typical High $57.54 | Professional | 80 · Assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $44.67 Typical High $50.12 | Professional | AS · PA/NP assist | $33.11 | $44.67 | $50.12 |
Where Wisconsin sits
The same service costs 4.9 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
$372
AK $398TX $81.28
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.