How much rates vary
Facilitymedian $178 · 10th to 90th $65 to $646Professionalmedian $162 · 10th to 90th $79 to $479
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 $87.10 Median $87.10 Typical High $199.53 | Facility | None | $87.10 | $87.10 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $87.10 Typical High $794.33 | Professional | None (both parts) | $85.11 | $87.10 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $323.59 | Professional | 26 · Professional part | $26.92 | $40.74 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $46.77 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $54.95 | $208.93 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $87.10 Typical High $218.78 | Professional | 26 · Professional part | $26.30 | $87.10 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $117.49 Typical High $302.00 | Professional | TC · Technical part | $28.18 | $117.49 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $34.67 | $43.65 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $263.03 | Facility | None | $154.88 | $177.83 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $83.18 | $93.33 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $109.65 | Professional | 26 · Professional part | $30.90 | $41.69 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $154.88 | Professional | TC · Technical part | $44.67 | $56.23 | $154.88 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $588.84 Typical High $794.33 | Facility | None | $64.57 | $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 $102.33 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $102.33 | $109.65 | $229.09 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $50.12 | $72.44 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $61.66 | $158.49 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $165.96 Typical High $549.54 | Facility | None | $53.70 | $165.96 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $91.20 | $295.12 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $109.65 Typical High $263.03 | Professional | 26 · Professional part | $33.88 | $109.65 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $57.54 | $194.98 | $398.11 |
Network Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $177.83 | Facility | None | $100.00 | $100.00 | $177.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $81.28 | $165.96 | $223.87 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $48.98 | $97.72 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $42.66 | $114.82 | $141.25 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $165.96 | Facility | None | $50.12 | $64.57 | $165.96 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $275.42 | Professional | None | $67.61 | $144.54 | $275.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $213.80 | Professional | None (both parts) | $83.18 | $83.18 | $213.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $38.90 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $44.67 | $109.65 |
Security Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $213.80 | $354.81 | $512.86 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $93.33 | $151.36 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $120.23 | $173.78 | $354.81 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $112.20 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $112.20 | $288.40 | $549.54 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $51.29 | $138.04 | $173.78 |
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 $67.61 Median $154.88 Typical High $371.54 | Professional | None (both parts) | $67.61 | $154.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $28.84 | $53.70 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $36.31 | $97.72 | $229.09 |
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 $43.65 Median $43.65 Typical High $407.38 | Professional | 52 · Reduced service | $43.65 | $43.65 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $162.18 | Professional | 53 · Discontinued | $17.38 | $17.38 | $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 $16.60 Median $17.38 Typical High $36.31 | Professional | 80 · Assistant surgeon | $16.60 | $17.38 | $36.31 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $17.38 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $16.60 | $17.38 | $36.31 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $17.38 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $17.38 | $36.31 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $15.14 Typical High $31.62 | Professional | AS · PA/NP assist | $14.45 | $15.14 | $31.62 |
Where Wisconsin sits
The same service costs 4.1 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
$162
AK $195TX $47.86
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.