How much rates vary
Facilitymedian $200 · 10th to 90th $78 to $437Professionalmedian $166 · 10th to 90th $74 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 $104.71 Median $104.71 Typical High $199.53 | Facility | None | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $912.01 | Professional | None (both parts) | $72.44 | $104.71 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $426.58 | Professional | 26 · Professional part | $28.18 | $41.69 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $61.66 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $67.61 | $229.09 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $89.13 Typical High $218.78 | Professional | 26 · Professional part | $26.92 | $89.13 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $40.74 | $141.25 | $331.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $34.67 | $57.54 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $316.23 | Facility | None | $186.21 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $100.00 | $109.65 | $288.40 |
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 $58.88 Median $67.61 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $67.61 | $173.78 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $398.11 Typical High $537.03 | Facility | None | $77.62 | $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 $123.03 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $123.03 | $128.82 | $190.55 |
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 $74.13 Median $77.62 Typical High $120.23 | Professional | TC · Technical part | $74.13 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $134.90 Typical High $269.15 | Facility | None | $64.57 | $134.90 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $83.18 | $245.47 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $107.15 Typical High $239.88 | Professional | 26 · Professional part | $33.88 | $107.15 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $47.86 | $165.96 | $389.05 |
Network Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $95.50 | $120.23 | $281.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $52.48 | $102.33 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $67.61 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $141.25 | Facility | None | $61.66 | $77.62 | $141.25 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $309.03 | Professional | None | $77.62 | $165.96 | $309.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $100.00 | $100.00 | $239.88 |
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 $58.88 Median $58.88 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $58.88 | $144.54 |
Security Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Security Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $218.78 | $346.74 | $562.34 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $128.82 | $162.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $147.91 | $181.97 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $123.03 | $199.53 | $457.09 |
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 $74.13 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $74.13 | $144.54 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $56.23 Typical High $134.90 | Professional | 26 · Professional part | $29.51 | $56.23 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $204.17 | Professional | TC · Technical part | $45.71 | $87.10 | $204.17 |
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 $51.29 Median $51.29 Typical High $501.19 | Professional | 52 · Reduced service | $51.29 | $51.29 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $199.53 | Professional | 53 · Discontinued | $20.89 | $20.89 | $199.53 |
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 $19.50 Median $20.42 Typical High $30.90 | Professional | 80 · Assistant surgeon | $19.50 | $20.42 | $30.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $20.42 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $19.50 | $20.42 | $30.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $20.42 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $20.42 | $30.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $18.20 Typical High $26.92 | Professional | AS · PA/NP assist | $16.98 | $18.20 | $26.92 |
Where Wisconsin sits
The same service costs 4.4 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
$170
AK $214UT $48.98
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.