How much rates vary
Facilitymedian $355 · 10th to 90th $129 to $724Professionalmedian $282 · 10th to 90th $126 to $776
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 $125.89 Median $173.78 Typical High $199.53 | Facility | None | $125.89 | $173.78 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $1,023.29 | Professional | None (both parts) | $141.25 | $173.78 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $512.86 | Professional | 26 · Professional part | $38.90 | $57.54 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $114.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $389.05 Typical High $912.01 | Professional | None (both parts) | $112.20 | $389.05 | $912.01 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $123.03 Typical High $302.00 | Professional | 26 · Professional part | $37.15 | $123.03 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $75.86 | $263.03 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $48.98 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $537.03 | Facility | None | $316.23 | $354.81 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $151.36 | $186.21 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $154.88 | Professional | 26 · Professional part | $46.77 | $58.88 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $123.03 | $316.23 |
DeanCare Setting Facility Modifier None Typical Low $128.82 Median $588.84 Typical High $794.33 | Facility | None | $128.82 | $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 $204.17 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $204.17 | $213.80 | $309.03 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $75.86 | $102.33 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $144.54 | $208.93 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $537.03 Typical High $870.96 | Facility | None | $138.04 | $537.03 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $141.25 | $457.09 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $173.78 Typical High $302.00 | Professional | 26 · Professional part | $47.86 | $173.78 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $95.50 | $269.15 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $288.40 | Facility | None | $181.97 | $181.97 | $288.40 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $162.18 | $263.03 | $446.68 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $74.13 | $144.54 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $107.15 | $190.55 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $229.09 | Facility | None | $102.33 | $128.82 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $512.86 | Professional | None | $125.89 | $269.15 | $512.86 |
Quartz Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $446.68 | Professional | None (both parts) | $165.96 | $165.96 | $446.68 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $54.95 | $54.95 | $134.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $109.65 | $269.15 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $331.13 | $724.44 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $144.54 | $223.87 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $588.84 | Professional | TC · Technical part | $165.96 | $257.04 | $588.84 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $204.17 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $204.17 | $331.13 | $870.96 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $194.98 Typical High $295.12 | Professional | 26 · Professional part | $69.18 | $194.98 | $295.12 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $275.42 Typical High $630.96 | Professional | TC · Technical part | $141.25 | $275.42 | $630.96 |
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 $125.89 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $125.89 | $234.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $194.98 | Professional | 26 · Professional part | $41.69 | $79.43 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $380.19 | Professional | TC · Technical part | $83.18 | $154.88 | $380.19 |
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 $87.10 Median $87.10 Typical High $512.86 | Professional | 52 · Reduced service | $87.10 | $87.10 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $204.17 | Professional | 53 · Discontinued | $34.67 | $34.67 | $204.17 |
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 $33.11 Median $34.67 Typical High $50.12 | Professional | 80 · Assistant surgeon | $33.11 | $34.67 | $50.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $34.67 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $33.11 | $34.67 | $50.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $34.67 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $34.67 | $50.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $30.20 Typical High $43.65 | Professional | AS · PA/NP assist | $28.84 | $30.20 | $43.65 |
Where Wisconsin sits
The same service costs 3.8 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· 4th of 51
$288
AK $355TX $93.33
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.