How much rates vary
Facilitymedian $251 · 10th to 90th $95 to $646Professionalmedian $195 · 10th to 90th $89 to $537
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 $120.23 Median $120.23 Typical High $199.53 | Facility | None | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $794.33 | Professional | None (both parts) | $97.72 | $120.23 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $338.84 | Professional | 26 · Professional part | $31.62 | $46.77 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $74.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $79.43 | $263.03 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $100.00 Typical High $245.47 | Professional | 26 · Professional part | $30.20 | $100.00 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $162.18 Typical High $398.11 | Professional | TC · Technical part | $48.98 | $162.18 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $38.90 | $70.79 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $251.19 Typical High $371.54 | Facility | None | $218.78 | $251.19 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $346.74 | Professional | None (both parts) | $102.33 | $128.82 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $47.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $79.43 | $204.17 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $588.84 Typical High $794.33 | Facility | None | $89.13 | $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 $144.54 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $144.54 | $151.36 | $213.80 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $61.66 | $83.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $93.33 | $131.83 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $354.81 Typical High $602.56 | Facility | None | $89.13 | $354.81 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $97.72 | $295.12 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $38.02 | $134.90 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $58.88 | $199.53 | $331.13 |
Network Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Facility | None | $125.89 | $125.89 | $186.21 |
Network Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $112.20 | $173.78 | $323.59 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $58.88 | $117.49 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $112.20 | $199.53 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $158.49 | Facility | None | $70.79 | $89.13 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $354.81 | Professional | None | $91.20 | $190.55 | $354.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $309.03 | Professional | None (both parts) | $117.49 | $117.49 | $309.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $44.67 | $107.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $72.44 | $165.96 |
Security Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Security Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $245.47 | $512.86 | $645.65 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $95.50 | $109.65 | $177.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $165.96 | $338.84 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $144.54 | $245.47 | $562.34 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $107.15 | $190.55 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $144.54 Typical High $371.54 | Professional | TC · Technical part | $89.13 | $144.54 | $371.54 |
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 $85.11 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $85.11 | $162.18 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $63.10 Typical High $154.88 | Professional | 26 · Professional part | $33.11 | $63.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $52.48 | $102.33 | $239.88 |
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 $60.26 Median $60.26 Typical High $457.09 | Professional | 52 · Reduced service | $60.26 | $60.26 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $181.97 | Professional | 53 · Discontinued | $24.55 | $24.55 | $181.97 |
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 $22.91 Median $23.99 Typical High $34.67 | Professional | 80 · Assistant surgeon | $22.91 | $23.99 | $34.67 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $23.99 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $22.91 | $23.99 | $34.67 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $23.99 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $23.99 | $34.67 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $21.38 Typical High $30.20 | Professional | AS · PA/NP assist | $19.95 | $21.38 | $30.20 |
Where Wisconsin sits
The same service costs 3.6 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
$200
AK $245TX $67.61
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.