How much rates vary
Facilitymedian $240 · 10th to 90th $98 to $447Professionalmedian $209 · 10th to 90th $98 to $589
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 $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 $1,122.02 | Professional | None (both parts) | $104.71 | $131.83 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $446.68 | Professional | 26 · Professional part | $34.67 | $50.12 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $81.28 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $87.10 | $288.40 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $32.36 | $112.20 | $269.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $53.70 | $177.83 | $436.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $42.66 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Facility | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $363.08 | Professional | None (both parts) | $112.20 | $138.04 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $51.29 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $229.09 | Professional | TC · Technical part | $72.44 | $85.11 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $398.11 Typical High $537.03 | Facility | None | $97.72 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $338.84 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $158.49 | $165.96 | $239.88 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $66.07 | $91.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $109.65 | $144.54 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $104.71 Typical High $269.15 | Facility | None | $77.62 | $104.71 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $104.71 | $302.00 | $575.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $131.83 Typical High $213.80 | Professional | 26 · Professional part | $40.74 | $131.83 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $64.57 | $194.98 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $123.03 | $181.97 | $354.81 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $64.57 | $128.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $117.49 | $218.78 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $173.78 | Facility | None | $77.62 | $97.72 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $389.05 | Professional | None | $100.00 | $208.93 | $389.05 |
Quartz Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $295.12 | Professional | None (both parts) | $125.89 | $125.89 | $295.12 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $47.86 | $117.49 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $77.62 | $181.97 |
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 $263.03 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $263.03 | $549.54 | $707.95 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $117.49 | $199.53 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $181.97 | $346.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $158.49 | $257.04 | $588.84 |
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 $91.20 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $91.20 | $181.97 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $165.96 | Professional | 26 · Professional part | $35.48 | $69.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $56.23 | $109.65 | $257.04 |
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 $54.95 Median $67.61 Typical High $85.11 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $58.88 Typical High $74.13 | Facility | AS · PA/NP assist | $47.86 | $58.88 | $74.13 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $26.30 Typical High $38.02 | Professional | 80 · Assistant surgeon | $25.12 | $26.30 | $38.02 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $26.30 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $25.12 | $26.30 | $38.02 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $26.30 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $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 3.7 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 $269TX $72.44
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.