How much rates vary
Facilitymedian $200 · 10th to 90th $68 to $646Professionalmedian $148 · 10th to 90th $65 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 $91.20 Median $91.20 Typical High $199.53 | Facility | None | $91.20 | $91.20 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $812.83 | Professional | None (both parts) | $85.11 | $91.20 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $380.19 | Professional | 26 · Professional part | $28.84 | $41.69 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $39.81 | $50.12 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $190.55 Typical High $478.63 | Professional | None (both parts) | $57.54 | $190.55 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $89.13 Typical High $218.78 | Professional | 26 · Professional part | $26.30 | $89.13 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $102.33 Typical High $245.47 | Professional | TC · Technical part | $30.20 | $102.33 | $245.47 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $34.67 | $46.77 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $186.21 Typical High $275.42 | Facility | None | $162.18 | $186.21 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $245.47 | Professional | None (both parts) | $87.10 | $95.50 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $112.20 | Professional | 26 · Professional part | $33.88 | $42.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $52.48 | $131.83 |
DeanCare Setting Facility Modifier None Typical Low $67.61 Median $588.84 Typical High $794.33 | Facility | None | $67.61 | $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 $107.15 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $107.15 | $112.20 | $151.36 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $51.29 | $74.13 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $58.88 | $61.66 | $83.18 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $398.11 Typical High $645.65 | Facility | None | $56.23 | $398.11 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $74.13 | $245.47 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $33.88 | $109.65 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $138.04 Typical High $398.11 | Professional | TC · Technical part | $36.31 | $138.04 | $398.11 |
Network Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $223.87 | Facility | None | $87.10 | $87.10 | $223.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $81.28 | $204.17 | $234.42 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $52.48 | $102.33 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $134.90 | $154.88 |
Prevea360 Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $117.49 | Facility | None | $51.29 | $67.61 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $263.03 | Professional | None | $67.61 | $144.54 | $263.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $190.55 | Professional | None (both parts) | $87.10 | $87.10 | $190.55 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $39.81 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $112.20 | Professional | TC · Technical part | $47.86 | $47.86 | $112.20 |
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 $165.96 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $165.96 | $371.54 | $630.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $107.15 | $158.49 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $467.74 | Professional | TC · Technical part | $83.18 | $128.82 | $467.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $107.15 | $213.80 | $436.52 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $50.12 | $141.25 | $177.83 |
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 $60.26 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $60.26 | $134.90 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $56.23 Typical High $138.04 | Professional | 26 · Professional part | $29.51 | $56.23 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $74.13 Typical High $169.82 | Professional | TC · Technical part | $31.62 | $74.13 | $169.82 |
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 $45.71 Median $45.71 Typical High $398.11 | Professional | 52 · Reduced service | $45.71 | $45.71 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $162.18 | Professional | 53 · Discontinued | $18.20 | $18.20 | $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 $17.38 Median $18.20 Typical High $24.55 | Professional | 80 · Assistant surgeon | $17.38 | $18.20 | $24.55 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $18.20 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $17.38 | $18.20 | $24.55 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $18.20 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $18.20 | $24.55 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $15.85 Typical High $21.38 | Professional | AS · PA/NP assist | $15.14 | $15.85 | $21.38 |
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
$151
AK $182TX $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.