How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $275Professionalmedian $209 · 10th to 90th $98 to $794
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $131.83 Median $131.83 Typical High $199.53 | Facility | None | $131.83 | $131.83 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $1,148.15 | Professional | None (both parts) | $104.71 | $131.83 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $776.25 | Professional | 26 · Professional part | $47.86 | $70.79 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $60.26 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $288.40 Typical High $691.83 | Professional | None (both parts) | $85.11 | $288.40 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $151.36 Typical High $371.54 | Professional | 26 · Professional part | $45.71 | $151.36 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $39.81 | $138.04 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $398.11 | Facility | None | $234.42 | $269.15 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $112.20 | $134.90 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $58.88 | $72.44 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $63.10 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $177.83 | Facility | None | $77.62 | $97.72 | $177.83 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $154.88 | $162.18 | $239.88 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $87.10 | $128.82 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $75.86 | $109.65 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $676.08 | Facility | None | $77.62 | $97.72 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $363.08 Typical High $1,288.25 | Professional | None (both parts) | $107.15 | $363.08 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $186.21 Typical High $501.19 | Professional | 26 · Professional part | $57.54 | $186.21 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $165.96 Typical High $794.33 | Professional | TC · Technical part | $48.98 | $165.96 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $199.53 | Facility | None | $138.04 | $138.04 | $199.53 |
Network Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $120.23 | $186.21 | $354.81 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $89.13 | $177.83 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $95.50 | $165.96 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $177.83 | Facility | None | $77.62 | $97.72 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $416.87 | Professional | None | $97.72 | $208.93 | $416.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $125.89 | $125.89 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $67.61 | $165.96 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $57.54 | $138.04 |
Security Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Security Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $269.15 | $549.54 | $707.95 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $123.03 | $162.18 | $275.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $173.78 | $281.84 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $158.49 | $251.19 | $645.65 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $245.47 Typical High $323.59 | Professional | 26 · Professional part | $87.10 | $245.47 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $93.33 | $177.83 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $50.12 | $95.50 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $42.66 | $83.18 | $194.98 |
6 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 $66.07 Median $66.07 Typical High $575.44 | Professional | 52 · Reduced service | $66.07 | $66.07 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $234.42 | Professional | 53 · Discontinued | $26.30 | $26.30 | $234.42 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 80 · Assistant surgeon | $24.55 | $26.30 | $38.02 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $24.55 | $26.30 | $38.02 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $26.30 | $38.02 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $22.91 Typical High $33.11 | Professional | AS · PA/NP assist | $21.88 | $22.91 | $33.11 |
Where Wisconsin sits
The same service costs 4.2 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
$209
AK $275TX $66.07
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.