How much rates vary
Facilitymedian $339 · 10th to 90th $141 to $490Professionalmedian $309 · 10th to 90th $141 to $871
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 $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $190.55 Typical High $1,071.52 | Professional | None (both parts) | $123.03 | $190.55 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $398.11 | Professional | 26 · Professional part | $36.31 | $52.48 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $72.44 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $446.68 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $446.68 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $114.82 Typical High $281.84 | Professional | 26 · Professional part | $33.88 | $114.82 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $331.13 Typical High $794.33 | Professional | TC · Technical part | $97.72 | $331.13 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $151.36 | $208.93 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $41.69 | $53.70 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $407.38 | Professional | TC · Technical part | $112.20 | $154.88 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $141.25 Median $398.11 Typical High $537.03 | Facility | None | $141.25 | $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 $239.88 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $239.88 | $251.19 | $371.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $61.66 | $66.07 | $95.50 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $186.21 | $275.42 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $245.47 | Facility | None | $104.71 | $147.91 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $154.88 | $478.63 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $43.65 | $141.25 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $114.82 | $380.19 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Facility | None | $213.80 | $213.80 | $302.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $186.21 | $281.84 | $512.86 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $67.61 | $134.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $208.93 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $245.47 | Facility | None | $104.71 | $141.25 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $302.00 Typical High $588.84 | Professional | None | $144.54 | $302.00 | $588.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $194.98 | $194.98 | $467.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $51.29 | $123.03 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $346.74 | Professional | TC · Technical part | $141.25 | $141.25 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Security Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $776.25 Typical High $870.96 | Professional | None (both parts) | $346.74 | $776.25 | $870.96 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $107.15 | $138.04 | $204.17 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $263.03 | $338.84 | $660.69 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $933.25 | Professional | None (both parts) | $234.42 | $380.19 | $933.25 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $165.96 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $165.96 | $218.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $263.03 Typical High $676.08 | Professional | None (both parts) | $141.25 | $263.03 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $72.44 Typical High $177.83 | Professional | 26 · Professional part | $38.02 | $72.44 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $489.78 | Professional | TC · Technical part | $104.71 | $190.55 | $489.78 |
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 $93.33 Median $93.33 Typical High $537.03 | Professional | 52 · Reduced service | $93.33 | $93.33 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $213.80 | Professional | 53 · Discontinued | $38.02 | $38.02 | $213.80 |
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 $38.02 Median $39.81 Typical High $58.88 | Professional | 80 · Assistant surgeon | $38.02 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $39.81 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $38.02 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $39.81 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $39.81 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $35.48 Typical High $51.29 | Professional | AS · PA/NP assist | $33.11 | $35.48 | $51.29 |
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
$309
AK $363TX $97.72
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.