How much rates vary
Facilitymedian $191 · 10th to 90th $66 to $1,549Professionalmedian $151 · 10th to 90th $65 to $389
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 $89.13 Median $89.13 Typical High $199.53 | Facility | None | $89.13 | $89.13 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $616.60 | Professional | None (both parts) | $67.61 | $89.13 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $316.23 | Professional | 26 · Professional part | $26.30 | $37.15 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $38.02 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $57.54 | $234.42 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $23.99 | $95.50 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $33.88 | $125.89 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $181.97 Typical High $275.42 | Facility | None | $162.18 | $181.97 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $295.12 | Professional | None (both parts) | $75.86 | $93.33 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $123.03 | Professional | 26 · Professional part | $30.90 | $39.81 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $169.82 | Professional | TC · Technical part | $44.67 | $56.23 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $66.07 Median $1,380.38 Typical High $1,905.46 | Facility | None | $66.07 | $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 $109.65 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $109.65 | $138.04 | $165.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $61.66 | $69.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $81.28 | $100.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $109.65 Typical High $1,412.54 | Facility | None | $54.95 | $109.65 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $69.18 | $239.88 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $30.90 | $112.20 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $38.02 | $125.89 | $234.42 |
Network Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Facility | None | $89.13 | $89.13 | $123.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $234.42 | Professional | None (both parts) | $83.18 | $100.00 | $234.42 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $97.72 | Professional | 26 · Professional part | $35.48 | $42.66 | $97.72 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $48.98 | $56.23 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $114.82 | Facility | None | $52.48 | $66.07 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $134.90 Typical High $263.03 | Professional | None | $64.57 | $134.90 | $263.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $85.11 | $85.11 | $194.98 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $35.48 | $87.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $50.12 | $50.12 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $112.20 | $346.74 | $407.38 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $97.72 | $147.91 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $199.53 | Professional | TC · Technical part | $52.48 | $72.44 | $199.53 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $177.83 | $309.03 | $309.03 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $42.66 | $100.00 | $158.49 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $61.66 | $131.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $27.54 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $33.88 | $74.13 | $141.25 |
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 $44.67 Median $44.67 Typical High $309.03 | Professional | 52 · Reduced service | $44.67 | $44.67 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $123.03 | Professional | 53 · Discontinued | $17.78 | $17.78 | $123.03 |
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 $17.78 Median $22.39 Typical High $26.92 | Professional | 80 · Assistant surgeon | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $22.39 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $22.39 | $26.92 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $19.50 Typical High $23.44 | Professional | AS · PA/NP assist | $15.49 | $19.50 | $23.44 |
Where Wisconsin sits
The same service costs 3.8 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
$155
AK $178TX $46.77
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.