How much rates vary
Facilitymedian $501 · 10th to 90th $158 to $724Professionalmedian $331 · 10th to 90th $148 to $955
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 $199.53 Median $213.80 Typical High $213.80 | Facility | None | $199.53 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $954.99 | Professional | None (both parts) | $144.54 | $213.80 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $436.52 | Professional | 26 · Professional part | $34.67 | $48.98 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $501.19 Typical High $1,258.93 | Professional | None (both parts) | $165.96 | $501.19 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $104.71 Typical High $257.04 | Professional | 26 · Professional part | $31.62 | $104.71 | $257.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $380.19 Typical High $1,047.13 | Professional | TC · Technical part | $117.49 | $380.19 | $1,047.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $40.74 | $229.09 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $912.01 | Facility | None | $537.03 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $812.83 | Professional | None (both parts) | $165.96 | $302.00 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $50.12 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $239.88 Typical High $691.83 | Professional | TC · Technical part | $125.89 | $239.88 | $691.83 |
DeanCare Setting Facility Modifier None Typical Low $158.49 Median $588.84 Typical High $794.33 | Facility | None | $158.49 | $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 $245.47 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $245.47 | $363.08 | $501.19 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $60.26 | $85.11 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $302.00 | $407.38 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $281.84 | Facility | None | $120.23 | $169.82 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $144.54 | $524.81 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $134.90 Typical High $371.54 | Professional | 26 · Professional part | $39.81 | $134.90 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $371.54 Typical High $691.83 | Professional | TC · Technical part | $102.33 | $371.54 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $281.84 | Facility | None | $147.91 | $147.91 | $281.84 |
Network Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $208.93 | $257.04 | $588.84 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $63.10 | $120.23 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $190.55 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $281.84 | Facility | None | $120.23 | $158.49 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $134.90 Median $275.42 Typical High $562.34 | Professional | None | $134.90 | $275.42 | $562.34 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $281.84 | $281.84 | $389.05 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $46.77 | $112.20 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $234.42 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $275.42 | $851.14 | $1,071.52 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $97.72 | $186.21 | $204.17 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $173.78 | $223.87 | $245.47 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $223.87 | $338.84 | $489.78 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $165.96 Typical High $245.47 | Professional | 26 · Professional part | $58.88 | $165.96 | $245.47 |
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 $120.23 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $120.23 | $239.88 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $162.18 | Professional | 26 · Professional part | $34.67 | $64.57 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $85.11 | $204.17 | $446.68 |
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 $107.15 Median $107.15 Typical High $478.63 | Professional | 52 · Reduced service | $107.15 | $107.15 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $194.98 | Professional | 53 · Discontinued | $42.66 | $42.66 | $194.98 |
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 $38.90 Median $57.54 Typical High $79.43 | Professional | 80 · Assistant surgeon | $38.90 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $57.54 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $38.90 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $57.54 Typical High $79.43 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $57.54 | $79.43 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $51.29 Typical High $69.18 | Professional | AS · PA/NP assist | $34.67 | $51.29 | $69.18 |
Where Wisconsin sits
The same service costs 4.9 times more in Wyoming 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
$331
WY $501UT $102
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.