How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $646Professionalmedian $195 · 10th to 90th $93 to $589
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 $112.20 Median $112.20 Typical High $199.53 | Facility | None | $112.20 | $112.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $575.44 | Professional | None (both parts) | $95.50 | $112.20 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $309.03 | Professional | 26 · Professional part | $33.88 | $48.98 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $51.29 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $72.44 | $263.03 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $107.15 Typical High $263.03 | Professional | 26 · Professional part | $31.62 | $107.15 | $263.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $389.05 Typical High $912.01 | Professional | 50 · Both sides | $109.65 | $389.05 | $912.01 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $41.69 | $154.88 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $229.09 Typical High $346.74 | Facility | None | $204.17 | $229.09 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $316.23 | Professional | None (both parts) | $107.15 | $123.03 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $50.12 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $190.55 | Professional | TC · Technical part | $60.26 | $70.79 | $190.55 |
DeanCare Setting Facility Modifier None Typical Low $83.18 Median $588.84 Typical High $794.33 | Facility | None | $83.18 | $588.84 | $794.33 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $758.58 Median $954.99 Typical High $1,202.26 | Facility | 50 · Both sides | $758.58 | $954.99 | $1,202.26 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $794.33 | Facility | TC · Technical part | $512.86 | $630.96 | $794.33 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $131.83 | $141.25 | $245.47 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $60.26 | $91.20 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $208.93 Typical High $363.08 | Professional | 50 · Both sides | $199.53 | $208.93 | $363.08 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $79.43 | $151.36 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $269.15 | Facility | None | $66.07 | $89.13 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $112.20 | $331.13 | $588.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $131.83 Typical High $338.84 | Professional | 26 · Professional part | $42.66 | $131.83 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $69.18 | $234.42 | $354.81 |
Network Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $199.53 | Facility | None | $117.49 | $117.49 | $199.53 |
Network Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $104.71 | $169.82 | $302.00 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $64.57 | $128.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $104.71 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $186.21 | Facility | None | $66.07 | $83.18 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $181.97 Typical High $331.13 | Professional | None | $85.11 | $181.97 | $331.13 |
Quartz Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $107.15 | $107.15 | $288.40 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $46.77 | $120.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $60.26 | $162.18 |
Security Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Security Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $269.15 | $467.74 | $602.56 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $114.82 | $204.17 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $169.82 | $363.08 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $190.55 Typical High $467.74 | Professional | None (both parts) | $89.13 | $190.55 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $36.31 | $70.79 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $117.49 Typical High $295.12 | Professional | TC · Technical part | $52.48 | $117.49 | $295.12 |
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 $56.23 Median $56.23 Typical High $295.12 | Professional | 52 · Reduced service | $56.23 | $56.23 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $117.49 | Professional | 53 · Discontinued | $22.39 | $22.39 | $117.49 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 80 · Assistant surgeon | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 81 · Minimal assistant surgeon | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 82 · Assistant surgeon, no resident | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $70.79 Median $89.13 Typical High $112.20 | Facility | AS · PA/NP assist | $70.79 | $89.13 | $112.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $22.39 Typical High $38.90 | Professional | 80 · Assistant surgeon | $21.38 | $22.39 | $38.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $22.39 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $21.38 | $22.39 | $38.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $22.39 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $22.39 | $38.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $19.50 Typical High $33.88 | Professional | AS · PA/NP assist | $18.62 | $19.50 | $33.88 |
Where Wisconsin sits
The same service costs 3.7 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
$200
AK $229TX $61.66
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.