How much rates vary
Facilitymedian $309 · 10th to 90th $117 to $692Professionalmedian $229 · 10th to 90th $107 to $661
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 $151.36 Median $151.36 Typical High $199.53 | Facility | None | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $891.25 | Professional | None (both parts) | $120.23 | $151.36 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $407.38 | Professional | 26 · Professional part | $31.62 | $45.71 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $79.43 | $104.71 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $97.72 | $309.03 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $97.72 Typical High $239.88 | Professional | 26 · Professional part | $29.51 | $97.72 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $67.61 | $199.53 | $436.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $38.02 | $97.72 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $457.09 | Facility | None | $269.15 | $309.03 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $407.38 | Professional | None (both parts) | $117.49 | $154.88 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $46.77 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $288.40 | Professional | TC · Technical part | $81.28 | $109.65 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $588.84 Typical High $794.33 | Facility | None | $112.20 | $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 $173.78 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $173.78 | $181.97 | $263.03 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $60.26 | $81.28 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $128.82 | $181.97 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $549.54 Typical High $741.31 | Facility | None | $112.20 | $549.54 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $114.82 | $346.74 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $125.89 Typical High $218.78 | Professional | 26 · Professional part | $37.15 | $125.89 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $218.78 | $457.09 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $251.19 | Facility | None | $154.88 | $154.88 | $251.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $138.04 | $234.42 | $407.38 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $57.54 | $114.82 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $173.78 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $199.53 | Facility | None | $89.13 | $112.20 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $436.52 | Professional | None | $109.65 | $229.09 | $436.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $346.74 | Professional | None (both parts) | $144.54 | $144.54 | $346.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $43.65 | $104.71 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $100.00 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $194.98 | $630.96 | $812.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $107.15 | $177.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $537.03 | Professional | TC · Technical part | $102.33 | $138.04 | $537.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $776.25 | Professional | None (both parts) | $173.78 | $323.59 | $776.25 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $154.88 Typical High $234.42 | Professional | 26 · Professional part | $54.95 | $154.88 | $234.42 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $125.89 | $204.17 | $549.54 |
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 $102.33 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $102.33 | $177.83 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $151.36 | Professional | 26 · Professional part | $32.36 | $61.66 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $269.15 | Professional | TC · Technical part | $66.07 | $120.23 | $269.15 |
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 $74.13 Median $74.13 Typical High $446.68 | Professional | 52 · Reduced service | $74.13 | $74.13 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $177.83 | Professional | 53 · Discontinued | $30.20 | $30.20 | $177.83 |
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 $27.54 Median $29.51 Typical High $42.66 | Professional | 80 · Assistant surgeon | $27.54 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $27.54 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $25.70 Typical High $37.15 | Professional | AS · PA/NP assist | $23.99 | $25.70 | $37.15 |
Where Wisconsin sits
The same service costs 4.2 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· 4th of 51
$234
AK $302UT $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.