How much rates vary
Facilitymedian $145 · 10th to 90th $52 to $437Professionalmedian $123 · 10th to 90th $52 to $501
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 $70.79 Median $70.79 Typical High $199.53 | Facility | None | $70.79 | $70.79 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $602.56 | Professional | None (both parts) | $70.79 | $70.79 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $354.81 | Professional | 26 · Professional part | $29.51 | $33.88 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $36.31 | $36.31 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $44.67 | $165.96 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $67.61 Typical High $181.97 | Professional | 26 · Professional part | $21.88 | $67.61 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $23.44 | $87.10 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $213.80 | Facility | None | $125.89 | $144.54 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $67.61 | $81.28 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $35.48 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $41.69 | $100.00 |
DeanCare Setting Facility Modifier None Typical Low $52.48 Median $398.11 Typical High $537.03 | Facility | None | $52.48 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $338.84 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $83.18 | $87.10 | $162.18 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $42.66 | $63.10 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $47.86 | $97.72 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $269.15 | Facility | None | $40.74 | $56.23 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $61.66 | $199.53 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $95.50 Typical High $323.59 | Professional | 26 · Professional part | $28.18 | $95.50 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $114.82 Typical High $323.59 | Professional | TC · Technical part | $33.88 | $114.82 | $323.59 |
Network Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $162.18 | Facility | None | $69.18 | $69.18 | $162.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $64.57 | $138.04 | $186.21 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $54.95 | $85.11 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $33.11 | $83.18 | $102.33 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $102.33 | Facility | None | $40.74 | $52.48 | $102.33 |
Quartz Setting Professional Modifier None Typical Low $52.48 Median $112.20 Typical High $281.84 | Professional | None | $52.48 | $112.20 | $281.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $158.49 | Professional | None (both parts) | $67.61 | $67.61 | $158.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $32.36 | $77.62 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $34.67 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $190.55 | $295.12 | $457.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $91.20 | $177.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $109.65 | $134.90 | $281.84 |
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 $50.12 Median $112.20 Typical High $275.42 | Professional | None (both parts) | $50.12 | $112.20 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $24.55 | $50.12 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $63.10 Typical High $138.04 | Professional | TC · Technical part | $26.30 | $63.10 | $138.04 |
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 $35.48 Median $35.48 Typical High $302.00 | Professional | 52 · Reduced service | $35.48 | $35.48 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $120.23 | Professional | 53 · Discontinued | $14.13 | $14.13 | $120.23 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $58.88 Typical High $74.13 | Facility | AS · PA/NP assist | $47.86 | $58.88 | $74.13 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $14.13 Typical High $25.70 | Professional | 80 · Assistant surgeon | $13.49 | $14.13 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $14.13 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $13.49 | $14.13 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $14.13 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $14.13 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $12.30 Typical High $22.39 | Professional | AS · PA/NP assist | $11.75 | $12.30 | $22.39 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska 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· 2nd of 51
$126
AK $141UT $31.62
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.