How much rates vary
Facilitymedian $372 · 10th to 90th $151 to $12,589Professionalmedian $389 · 10th to 90th $162 to $1,479
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 $204.17 Typical High $204.17 | Facility | None | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $1,819.70 | Professional | None (both parts) | $204.17 | $204.17 | $1,819.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $1,071.52 | Professional | 26 · Professional part | $97.72 | $97.72 | $1,071.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $134.90 | $524.81 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $251.19 Typical High $512.86 | Professional | 26 · Professional part | $61.66 | $251.19 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $72.44 | $281.84 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $630.96 | Facility | None | $371.54 | $416.87 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $776.25 | Professional | None (both parts) | $194.98 | $234.42 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $323.59 | Professional | 26 · Professional part | $83.18 | $104.71 | $323.59 |
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 $151.36 Median $11,220.18 Typical High $15,135.61 | Facility | None | $151.36 | $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 $251.19 Median $346.74 Typical High $380.19 | Professional | None (both parts) | $251.19 | $346.74 | $380.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $162.18 | $177.83 |
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 $120.23 Median $162.18 Typical High $8,128.31 | Facility | None | $120.23 | $162.18 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $691.83 Typical High $4,168.69 | Professional | None (both parts) | $199.53 | $691.83 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $295.12 Typical High $724.44 | Professional | 26 · Professional part | $79.43 | $295.12 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $389.05 Typical High $3,467.37 | Professional | TC · Technical part | $109.65 | $389.05 | $3,467.37 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $346.74 | Facility | None | $213.80 | $213.80 | $346.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $199.53 | $316.23 | $537.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $112.20 | $257.04 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $204.17 | $288.40 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $288.40 | Facility | None | $120.23 | $151.36 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $691.83 | Professional | None | $151.36 | $309.03 | $691.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $194.98 | $194.98 | $512.86 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $93.33 | $223.87 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $323.59 | $851.14 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $389.05 | Professional | 26 · Professional part | $125.89 | $165.96 | $389.05 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $204.17 | $575.44 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $416.87 Typical High $489.78 | Professional | 26 · Professional part | $190.55 | $416.87 | $489.78 |
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 $162.18 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $162.18 | $363.08 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $151.36 Typical High $295.12 | Professional | 26 · Professional part | $72.44 | $151.36 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $87.10 | $194.98 | $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 $102.33 Median $102.33 Typical High $912.01 | Professional | 52 · Reduced service | $102.33 | $102.33 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $371.54 | Professional | 53 · Discontinued | $40.74 | $40.74 | $371.54 |
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 $40.74 Median $54.95 Typical High $61.66 | Professional | 80 · Assistant surgeon | $40.74 | $54.95 | $61.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $54.95 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $40.74 | $54.95 | $61.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $54.95 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $54.95 | $61.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $47.86 Typical High $53.70 | Professional | AS · PA/NP assist | $35.48 | $47.86 | $53.70 |
Where Wisconsin sits
The same service costs 4.7 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
$380
AK $427TX $91.20
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.