How much rates vary
Facilitymedian $437 · 10th to 90th $200 to $1,122Professionalmedian $575 · 10th to 90th $234 to $1,950
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 $302.00 Typical High $302.00 | Facility | None | $199.53 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $302.00 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $302.00 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $1,000.00 | Professional | 26 · Professional part | $72.44 | $79.43 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $213.80 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $812.83 Typical High $1,949.84 | Professional | None (both parts) | $204.17 | $812.83 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $204.17 Typical High $501.19 | Professional | 26 · Professional part | $51.29 | $204.17 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $616.60 Typical High $1,445.44 | Professional | TC · Technical part | $154.88 | $616.60 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $933.25 | Facility | None | $549.54 | $630.96 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $1,071.52 | Professional | None (both parts) | $275.42 | $323.59 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $257.04 | Professional | 26 · Professional part | $64.57 | $83.18 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $812.83 | Professional | TC · Technical part | $204.17 | $239.88 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $933.25 Typical High $1,288.25 | Facility | None | $223.87 | $933.25 | $1,288.25 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $1,047.13 Typical High $1,318.26 | Facility | TC · Technical part | $851.14 | $1,047.13 | $1,318.26 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $371.54 | $512.86 | $562.34 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $131.83 | $144.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $426.58 | Professional | TC · Technical part | $275.42 | $380.19 | $426.58 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $2,511.89 | Facility | None | $186.21 | $316.23 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $758.58 Typical High $1,380.38 | Professional | None (both parts) | $269.15 | $758.58 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $199.53 Typical High $331.13 | Professional | 26 · Professional part | $67.61 | $199.53 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $660.69 Typical High $1,047.13 | Professional | TC · Technical part | $208.93 | $660.69 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $151.36 | $512.86 | $831.76 |
Prevea360 Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $398.11 | Facility | None | $186.21 | $316.23 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $912.01 | Professional | None | $218.78 | $446.68 | $912.01 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $288.40 | $288.40 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $75.86 | $186.21 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $213.80 | $575.44 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,288.25 Typical High $1,862.09 | Professional | None (both parts) | $489.78 | $1,288.25 | $1,862.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $138.04 | $245.47 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $436.52 Typical High $794.33 | Professional | TC · Technical part | $331.13 | $436.52 | $794.33 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $512.86 | $1,230.27 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $245.47 Typical High $309.03 | Professional | 26 · Professional part | $89.13 | $245.47 | $309.03 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $245.47 | $575.44 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $141.25 Typical High $269.15 | Professional | 26 · Professional part | $60.26 | $141.25 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $186.21 | $426.58 | $831.76 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $134.90 Median $165.96 Typical High $213.80 | Facility | 80 · Assistant surgeon | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $165.96 Typical High $213.80 | Facility | 81 · Minimal assistant surgeon | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $165.96 Typical High $213.80 | Facility | 82 · Assistant surgeon, no resident | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | AS · PA/NP assist | $117.49 | $147.91 | $186.21 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 80 · Assistant surgeon | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $81.28 | $91.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $70.79 Typical High $79.43 | Professional | AS · PA/NP assist | $52.48 | $70.79 | $79.43 |
Where Wisconsin sits
The same service costs 5.4 times more in Wyoming than in Utah. 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· 3rd of 51
$562
WY $813UT $151
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.