How much rates vary
Facilitymedian $269 · 10th to 90th $110 to $490Professionalmedian $234 · 10th to 90th $107 to $676
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 $147.91 Median $147.91 Typical High $199.53 | Facility | None | $147.91 | $147.91 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $1,230.27 | Professional | None (both parts) | $102.33 | $147.91 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $467.74 | Professional | 26 · Professional part | $30.90 | $44.67 | $467.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $338.84 Typical High $794.33 | Professional | None (both parts) | $97.72 | $338.84 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $28.84 | $97.72 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $234.42 Typical High $549.54 | Professional | TC · Technical part | $69.18 | $234.42 | $549.54 |
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 $114.82 Median $151.36 Typical High $407.38 | Professional | None (both parts) | $114.82 | $151.36 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $45.71 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $107.15 | $288.40 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $398.11 Typical High $537.03 | Facility | None | $109.65 | $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 $177.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $177.83 | $186.21 | $269.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $54.95 | $79.43 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $123.03 | $128.82 | $190.55 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $194.98 Typical High $512.86 | Facility | None | $91.20 | $194.98 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $123.03 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $123.03 | $346.74 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $117.49 Typical High $229.09 | Professional | 26 · Professional part | $36.31 | $117.49 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $263.03 Typical High $467.74 | Professional | TC · Technical part | $83.18 | $263.03 | $467.74 |
Network Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Facility | None | $154.88 | $154.88 | $213.80 |
Network Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $138.04 | $194.98 | $407.38 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $41.69 | $54.95 | $112.20 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $97.72 | $141.25 | $281.84 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $194.98 | Facility | None | $89.13 | $109.65 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $436.52 | Professional | None | $107.15 | $223.87 | $436.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $346.74 | Professional | None (both parts) | $141.25 | $141.25 | $346.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $102.33 | Professional | 26 · Professional part | $42.66 | $42.66 | $102.33 |
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 $288.40 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $288.40 | $602.56 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $120.23 | $169.82 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $245.47 | $436.52 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $51.29 | $138.04 | $177.83 |
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 $107.15 Median $194.98 Typical High $489.78 | Professional | None (both parts) | $107.15 | $194.98 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $147.91 | Professional | 26 · Professional part | $31.62 | $60.26 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $138.04 Typical High $346.74 | Professional | TC · Technical part | $75.86 | $138.04 | $346.74 |
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 $616.60 | Professional | 52 · Reduced service | $74.13 | $74.13 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $245.47 | Professional | 53 · Discontinued | $29.51 | $29.51 | $245.47 |
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 $28.18 Median $29.51 Typical High $42.66 | Professional | 80 · Assistant surgeon | $28.18 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $29.51 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $28.18 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $29.51 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $29.51 | $42.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $25.70 Typical High $38.02 | Professional | AS · PA/NP assist | $24.55 | $25.70 | $38.02 |
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· 3rd of 51
$240
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.