How much rates vary
Facilitymedian $295 · 10th to 90th $120 to $3,981Professionalmedian $302 · 10th to 90th $117 to $1,023
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 $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $1,348.96 | Professional | None (both parts) | $162.18 | $162.18 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $524.81 | Professional | 26 · Professional part | $50.12 | $50.12 | $524.81 |
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 $107.15 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $107.15 | $416.87 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $32.36 | $131.83 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $288.40 Typical High $691.83 | Professional | TC · Technical part | $74.13 | $288.40 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $501.19 | Facility | None | $295.12 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $575.44 | Professional | None (both parts) | $151.36 | $169.82 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $158.49 | Professional | 26 · Professional part | $45.71 | $53.70 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $117.49 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $3,630.78 Typical High $4,897.79 | Facility | None | $120.23 | $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 $199.53 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $199.53 | $269.15 | $302.00 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $83.18 | $93.33 |
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 $93.33 Median $128.82 Typical High $1,584.89 | Facility | None | $93.33 | $128.82 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $128.82 | $501.19 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $41.69 | $151.36 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $354.81 Typical High $870.96 | Professional | TC · Technical part | $89.13 | $354.81 | $870.96 |
Network Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $478.63 | Facility | None | $169.82 | $169.82 | $478.63 |
Network Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $158.49 | $213.80 | $436.52 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $54.95 | $134.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $158.49 | $295.12 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $229.09 | Facility | None | $93.33 | $120.23 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $467.74 | Professional | None | $117.49 | $239.88 | $467.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $389.05 | Professional | None (both parts) | $154.88 | $154.88 | $389.05 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $47.86 | $117.49 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $269.15 | Professional | TC · Technical part | $107.15 | $107.15 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $676.08 Typical High $1,348.96 | Professional | None (both parts) | $288.40 | $676.08 | $1,348.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $208.93 | Professional | 26 · Professional part | $67.61 | $87.10 | $208.93 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $1,148.15 | Professional | TC · Technical part | $204.17 | $257.04 | $1,148.15 |
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 $120.23 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $120.23 | $251.19 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $36.31 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $77.62 | $177.83 | $354.81 |
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 $81.28 Median $81.28 Typical High $676.08 | Professional | 52 · Reduced service | $81.28 | $81.28 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $269.15 | Professional | 53 · Discontinued | $32.36 | $32.36 | $269.15 |
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 $31.62 Median $43.65 Typical High $47.86 | Professional | 80 · Assistant surgeon | $31.62 | $43.65 | $47.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $43.65 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $31.62 | $43.65 | $47.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $43.65 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $43.65 | $47.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $38.02 Typical High $41.69 | Professional | AS · PA/NP assist | $27.54 | $38.02 | $41.69 |
Where Wisconsin sits
The same service costs 4.6 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
$302
AK $324TX $70.79
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.