How much rates vary
Facilitymedian $182 · 10th to 90th $105 to $339Professionalmedian $166 · 10th to 90th $100 to $759
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $141.25 Typical High $199.53 | Facility | None | $141.25 | $141.25 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $954.99 | Professional | None (both parts) | $95.50 | $141.25 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $489.78 | Professional | 26 · Professional part | $35.48 | $56.23 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $93.33 | $275.42 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $102.33 Typical High $295.12 | Professional | 26 · Professional part | $36.31 | $102.33 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $173.78 Typical High $457.09 | Professional | TC · Technical part | $56.23 | $173.78 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $436.52 | Facility | None | $257.04 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $389.05 | Professional | None (both parts) | $128.82 | $134.90 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $151.36 | Professional | 26 · Professional part | $40.74 | $53.70 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $81.28 | $81.28 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $181.97 | Facility | None | $87.10 | $144.54 | $181.97 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $165.96 | $194.98 | $269.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $66.07 | $77.62 | $89.13 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $120.23 | $177.83 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $1,047.13 | Facility | None | $87.10 | $144.54 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $114.82 | $281.84 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $104.71 Typical High $269.15 | Professional | 26 · Professional part | $38.02 | $104.71 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $204.17 Typical High $501.19 | Professional | TC · Technical part | $74.13 | $204.17 | $501.19 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $229.09 | Facility | None | $154.88 | $154.88 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $141.25 | $186.21 | $275.42 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $56.23 | $95.50 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $128.82 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $144.54 Typical High $181.97 | Facility | None | $87.10 | $144.54 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $416.87 | Professional | None | $104.71 | $208.93 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $134.90 | $134.90 | $186.21 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $53.70 | $69.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $81.28 | $81.28 | $114.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $229.09 | $426.58 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $114.82 | $194.98 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $169.82 | $446.68 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $102.33 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $416.87 | Professional | None (both parts) | $95.50 | $144.54 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $151.36 | Professional | 26 · Professional part | $33.88 | $51.29 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $269.15 | Professional | TC · Technical part | $61.66 | $93.33 | $269.15 |
7 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 $47.86 Median $70.79 Typical High $478.63 | Professional | 52 · Reduced service | $47.86 | $70.79 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.18 Typical High $190.55 | Professional | 53 · Discontinued | $19.05 | $28.18 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $72.44 Typical High $112.20 | Professional | FX · Film X-ray | $66.07 | $72.44 | $112.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $31.62 Typical High $42.66 | Professional | 80 · Assistant surgeon | $26.92 | $31.62 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $31.62 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $26.92 | $31.62 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $31.62 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $31.62 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $27.54 Typical High $37.15 | Professional | AS · PA/NP assist | $23.44 | $27.54 | $37.15 |
Where Wisconsin sits
The same service costs 4.5 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· 9th of 51
$166
AK $295TX $66.07
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.