How much rates vary
Facilitymedian $398 · 10th to 90th $162 to $676Professionalmedian $339 · 10th to 90th $155 to $977
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 $199.53 Median $218.78 Typical High $218.78 | Facility | None | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $1,258.93 | Professional | None (both parts) | $165.96 | $218.78 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $380.19 | Professional | 26 · Professional part | $37.15 | $53.70 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $489.78 Typical High $1,148.15 | Professional | None (both parts) | $144.54 | $489.78 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $117.49 Typical High $288.40 | Professional | 26 · Professional part | $34.67 | $117.49 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $109.65 | $371.54 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $457.09 Typical High $676.08 | Facility | None | $398.11 | $457.09 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $162.18 | $223.87 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $144.54 | Professional | 26 · Professional part | $42.66 | $53.70 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $457.09 | Professional | TC · Technical part | $123.03 | $169.82 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $794.33 | Facility | None | $162.18 | $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 $263.03 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $263.03 | $275.42 | $398.11 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $66.07 | $95.50 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $194.98 | $208.93 | $302.00 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $288.40 | Facility | None | $128.82 | $173.78 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $478.63 Typical High $977.24 | Professional | None (both parts) | $165.96 | $478.63 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $43.65 | $120.23 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $371.54 Typical High $741.31 | Professional | TC · Technical part | $125.89 | $371.54 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Facility | None | $229.09 | $229.09 | $316.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $204.17 | $288.40 | $549.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $67.61 | $134.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $151.36 | $218.78 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $288.40 | Facility | None | $128.82 | $162.18 | $288.40 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $331.13 Typical High $645.65 | Professional | None | $158.49 | $331.13 | $645.65 |
Quartz Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $208.93 | $208.93 | $512.86 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $51.29 | $125.89 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $158.49 | $380.19 |
Security Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $891.25 | $1,202.26 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $123.03 | $208.93 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $138.04 | $380.19 | $676.08 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $61.66 | $144.54 | $223.87 |
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 $154.88 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $154.88 | $302.00 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $181.97 | Professional | 26 · Professional part | $38.90 | $72.44 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $549.54 | Professional | TC · Technical part | $117.49 | $223.87 | $549.54 |
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 $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 $41.69 Median $43.65 Typical High $64.57 | Professional | 80 · Assistant surgeon | $41.69 | $43.65 | $64.57 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $41.69 | $43.65 | $64.57 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $43.65 | $64.57 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $38.02 Typical High $56.23 | Professional | AS · PA/NP assist | $36.31 | $38.02 | $56.23 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$339
AK $437UT $102
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.