How much rates vary
Facilitymedian $288 · 10th to 90th $117 to $562Professionalmedian $240 · 10th to 90th $110 to $692
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 $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $1,071.52 | Professional | None (both parts) | $104.71 | $162.18 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $269.15 | Professional | 26 · Professional part | $28.18 | $38.90 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $120.23 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $346.74 Typical High $851.14 | Professional | None (both parts) | $102.33 | $346.74 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $85.11 Typical High $204.17 | Professional | 26 · Professional part | $25.12 | $85.11 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $77.62 | $257.04 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $33.11 | $114.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $489.78 | Facility | None | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $436.52 | Professional | None (both parts) | $117.49 | $162.18 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $38.90 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $331.13 | Professional | TC · Technical part | $87.10 | $125.89 | $331.13 |
DeanCare Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $645.65 | Facility | None | $117.49 | $478.63 | $645.65 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $645.65 | Facility | TC · Technical part | $416.87 | $512.86 | $645.65 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $190.55 | $199.53 | $275.42 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $47.86 | $70.79 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $144.54 | $151.36 | $204.17 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $616.60 | Facility | None | $100.00 | $269.15 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $346.74 Typical High $691.83 | Professional | None (both parts) | $123.03 | $346.74 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $32.36 | $87.10 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $91.20 | $257.04 | $524.81 |
Network Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $134.90 | $204.17 | $426.58 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $61.66 | $104.71 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $102.33 | $144.54 | $323.59 |
Prevea360 Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $213.80 | Facility | None | $93.33 | $117.49 | $213.80 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $467.74 | Professional | None | $117.49 | $239.88 | $467.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $371.54 | Professional | None (both parts) | $154.88 | $154.88 | $371.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $37.15 | $91.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $117.49 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Security Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $660.69 Typical High $831.76 | Professional | None (both parts) | $239.88 | $660.69 | $831.76 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $67.61 | $79.43 | $95.50 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $186.21 | $288.40 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $186.21 | $323.59 | $691.83 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $47.86 | $128.82 | $158.49 |
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 $190.55 Typical High $524.81 | Professional | None (both parts) | $114.82 | $190.55 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $28.18 | $53.70 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $389.05 | Professional | TC · Technical part | $85.11 | $144.54 | $389.05 |
8 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 |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $66.07 Median $83.18 Typical High $104.71 | Facility | 80 · Assistant surgeon | $66.07 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $83.18 Typical High $104.71 | Facility | 81 · Minimal assistant surgeon | $66.07 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $83.18 Typical High $104.71 | Facility | 82 · Assistant surgeon, no resident | $66.07 | $83.18 | $104.71 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $58.88 Median $72.44 Typical High $91.20 | Facility | AS · PA/NP assist | $58.88 | $72.44 | $91.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $31.62 Typical High $44.67 | Professional | 80 · Assistant surgeon | $30.20 | $31.62 | $44.67 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $31.62 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $30.20 | $31.62 | $44.67 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $31.62 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $31.62 | $44.67 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $28.18 Typical High $38.90 | Professional | AS · PA/NP assist | $26.30 | $28.18 | $38.90 |
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· 3rd of 51
$240
AK $316TX $83.18
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.