How much rates vary
Facilitymedian $347 · 10th to 90th $129 to $661Professionalmedian $257 · 10th to 90th $115 to $724
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 $158.49 Median $165.96 Typical High $199.53 | Facility | None | $158.49 | $165.96 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $630.96 | Professional | None (both parts) | $120.23 | $165.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $363.08 | Professional | 26 · Professional part | $26.92 | $40.74 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $91.20 | $123.03 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $107.15 | $363.08 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $26.30 | $87.10 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $275.42 Typical High $660.69 | Professional | TC · Technical part | $81.28 | $275.42 | $660.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $33.88 | $114.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $338.84 Typical High $512.86 | Facility | None | $302.00 | $338.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $446.68 | Professional | None (both parts) | $123.03 | $169.82 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $107.15 | Professional | 26 · Professional part | $31.62 | $41.69 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $338.84 | Professional | TC · Technical part | $91.20 | $128.82 | $338.84 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $588.84 Typical High $794.33 | Facility | None | $120.23 | $588.84 | $794.33 |
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 $194.98 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $194.98 | $204.17 | $295.12 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $50.12 | $70.79 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $154.88 | $223.87 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $524.81 Typical High $660.69 | Facility | None | $128.82 | $524.81 | $660.69 |
Medica Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $912.01 | Facility | TC · Technical part | $478.63 | $588.84 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $446.68 Typical High $724.44 | Professional | None (both parts) | $128.82 | $446.68 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $33.11 | $114.82 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $97.72 | $309.03 | $549.54 |
Network Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $251.19 | Facility | None | $173.78 | $173.78 | $251.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $151.36 | $223.87 | $407.38 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $50.12 | $100.00 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $173.78 | $309.03 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $213.80 | Facility | None | $97.72 | $120.23 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $257.04 Typical High $478.63 | Professional | None | $120.23 | $257.04 | $478.63 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $380.19 | Professional | None (both parts) | $158.49 | $158.49 | $380.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $38.90 | $93.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $117.49 | $288.40 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Security Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $691.83 Typical High $891.25 | Professional | None (both parts) | $302.00 | $691.83 | $891.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $102.33 | $154.88 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $120.23 | $281.84 | $549.54 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $190.55 | $323.59 | $758.58 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $48.98 | $134.90 | $204.17 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $151.36 | $323.59 | $602.56 |
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 $114.82 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $114.82 | $213.80 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $28.84 | $54.95 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $407.38 | Professional | TC · Technical part | $87.10 | $162.18 | $407.38 |
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 $81.28 Median $81.28 Typical High $407.38 | Professional | 52 · Reduced service | $81.28 | $81.28 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $162.18 | Professional | 53 · Discontinued | $33.11 | $33.11 | $162.18 |
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 $30.90 Median $32.36 Typical High $47.86 | Professional | 80 · Assistant surgeon | $30.90 | $32.36 | $47.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $32.36 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $30.90 | $32.36 | $47.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $32.36 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $32.36 | $47.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $28.84 Typical High $41.69 | Professional | AS · PA/NP assist | $26.92 | $28.84 | $41.69 |
Where Wisconsin sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 4th of 51
$263
MN $363FL $89.13
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.