How much rates vary
Facilitymedian $195 · 10th to 90th $72 to $447Professionalmedian $120 · 10th to 90th $45 to $363
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 $70.79 Median $97.72 Typical High $199.53 | Facility | None | $70.79 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $97.72 Typical High $407.38 | Professional | None (both parts) | $42.66 | $97.72 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $48.98 Typical High $309.03 | Professional | 26 · Professional part | $26.92 | $48.98 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $11.48 | $46.77 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $40.74 | $162.18 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $91.20 Typical High $218.78 | Professional | 26 · Professional part | $31.62 | $91.20 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $51.29 Typical High $199.53 | Professional | TC · Technical part | $8.71 | $51.29 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $38.02 | $50.12 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $295.12 | Facility | None | $173.78 | $194.98 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $257.04 | Professional | None (both parts) | $60.26 | $97.72 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $131.83 | Professional | 26 · Professional part | $33.88 | $47.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $125.89 | Professional | TC · Technical part | $28.84 | $45.71 | $125.89 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $398.11 Typical High $537.03 | Facility | None | $72.44 | $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 $114.82 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $114.82 | $120.23 | $162.18 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $61.66 | $75.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $58.88 | $83.18 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $141.25 Typical High $489.78 | Facility | None | $72.44 | $141.25 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $45.71 | $173.78 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $81.28 Typical High $199.53 | Professional | 26 · Professional part | $27.54 | $81.28 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $14.13 | $97.72 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Facility | None | $70.79 | $70.79 | $83.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $63.10 | $79.43 | $162.18 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $43.65 | $70.79 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $128.82 | Professional | TC · Technical part | $19.50 | $24.55 | $128.82 |
Prevea360 Setting Facility Modifier None Typical Low $37.15 Median $72.44 Typical High $125.89 | Facility | None | $37.15 | $72.44 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $275.42 | Professional | None | $70.79 | $147.91 | $275.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $93.33 | $93.33 | $158.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $46.77 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $34.67 | $45.71 | $58.88 |
Security Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $102.33 | $257.04 | $436.52 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $57.54 | $81.28 | $134.90 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $37.15 Typical High $89.13 | Professional | TC · Technical part | $26.92 | $37.15 | $89.13 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $114.82 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $114.82 | $218.78 | $363.08 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $58.88 | $144.54 | $169.82 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $169.82 | Professional | TC · Technical part | $56.23 | $70.79 | $169.82 |
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 $43.65 Median $93.33 Typical High $269.15 | Professional | None (both parts) | $43.65 | $93.33 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $25.12 | $46.77 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $45.71 Typical High $151.36 | Professional | TC · Technical part | $14.13 | $45.71 | $151.36 |
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 $18.20 Median $19.05 Typical High $25.70 | Professional | 80 · Assistant surgeon | $18.20 | $19.05 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $19.05 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $18.20 | $19.05 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $19.05 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $19.05 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $16.60 Typical High $22.39 | Professional | AS · PA/NP assist | $15.85 | $16.60 | $22.39 |
Where Wisconsin sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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
$120
AK $174KY $33.88
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.