How much rates vary
Facilitymedian $20 · 10th to 90th $8 to $269Professionalmedian $19 · 10th to 90th $8 to $78
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 $10.47 Median $10.47 Typical High $199.53 | Facility | None | $10.47 | $10.47 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $10.47 Typical High $229.09 | Professional | None (both parts) | $10.47 | $10.47 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $3.80 Typical High $102.33 | Professional | 26 · Professional part | $3.80 | $3.80 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | TC · Technical part | $6.76 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.46 Median $25.70 Typical High $54.95 | Professional | None (both parts) | $6.46 | $25.70 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $2.45 | $8.71 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $15.85 Typical High $35.48 | Professional | TC · Technical part | $4.07 | $15.85 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $30.90 | Facility | None | $18.20 | $20.42 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $12.02 Typical High $39.81 | Professional | None (both parts) | $10.00 | $12.02 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $4.17 Typical High $12.30 | Professional | 26 · Professional part | $3.55 | $4.17 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $7.76 Typical High $25.12 | Professional | TC · Technical part | $6.46 | $7.76 | $25.12 |
DeanCare Setting Facility Modifier None Typical Low $7.76 Median $234.42 Typical High $316.23 | Facility | None | $7.76 | $234.42 | $316.23 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $316.23 | Facility | TC · Technical part | $204.17 | $251.19 | $316.23 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $12.88 Median $17.38 Typical High $19.50 | Professional | None (both parts) | $12.88 | $17.38 | $19.50 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $6.17 Typical High $6.92 | Professional | 26 · Professional part | $4.47 | $6.17 | $6.92 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.72 Typical High $12.59 | Professional | TC · Technical part | $8.32 | $10.72 | $12.59 |
Medica Setting Facility Modifier None Typical Low $5.89 Median $8.32 Typical High $269.15 | Facility | None | $5.89 | $8.32 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $8.91 Median $34.67 Typical High $741.31 | Professional | None (both parts) | $8.91 | $34.67 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $11.48 Typical High $81.28 | Professional | 26 · Professional part | $3.16 | $11.48 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $21.38 Typical High $741.31 | Professional | TC · Technical part | $5.37 | $21.38 | $741.31 |
Network Health Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $13.80 | Facility | None | $10.00 | $10.00 | $13.80 |
Network Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $15.85 Typical High $26.30 | Professional | None (both parts) | $9.33 | $15.85 | $26.30 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $4.79 Typical High $10.00 | Professional | 26 · Professional part | $3.63 | $4.79 | $10.00 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $10.96 Typical High $16.22 | Professional | TC · Technical part | $6.76 | $10.96 | $16.22 |
Prevea360 Setting Facility Modifier None Typical Low $5.89 Median $7.76 Typical High $14.45 | Facility | None | $5.89 | $7.76 | $14.45 |
Quartz Setting Professional Modifier None Typical Low $8.51 Median $17.38 Typical High $30.90 | Professional | None | $8.51 | $17.38 | $30.90 |
Quartz Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $25.12 | Professional | None (both parts) | $10.00 | $10.00 | $25.12 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $3.63 Typical High $8.91 | Professional | 26 · Professional part | $3.63 | $3.63 | $8.91 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $6.46 Typical High $15.49 | Professional | TC · Technical part | $6.46 | $6.46 | $15.49 |
Security Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Security Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $43.65 Typical High $114.82 | Professional | None (both parts) | $20.42 | $43.65 | $114.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $6.61 | $8.32 | $14.79 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $12.59 | $23.99 | $30.20 |
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 $7.59 Median $16.98 Typical High $41.69 | Professional | None (both parts) | $7.59 | $16.98 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $6.03 Typical High $12.59 | Professional | 26 · Professional part | $2.88 | $6.03 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $10.47 Typical High $25.70 | Professional | TC · Technical part | $4.57 | $10.47 | $25.70 |
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 $5.25 Median $5.25 Typical High $112.20 | Professional | 52 · Reduced service | $5.25 | $5.25 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $45.71 | Professional | 53 · Discontinued | $2.09 | $2.09 | $45.71 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $32.36 Median $39.81 Typical High $51.29 | Facility | 80 · Assistant surgeon | $32.36 | $39.81 | $51.29 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $39.81 Typical High $51.29 | Facility | 81 · Minimal assistant surgeon | $32.36 | $39.81 | $51.29 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $39.81 Typical High $51.29 | Facility | 82 · Assistant surgeon, no resident | $32.36 | $39.81 | $51.29 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $28.18 Median $35.48 Typical High $44.67 | Facility | AS · PA/NP assist | $28.18 | $35.48 | $44.67 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.04 Median $2.75 Typical High $3.16 | Professional | 80 · Assistant surgeon | $2.04 | $2.75 | $3.16 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.04 Median $2.75 Typical High $3.16 | Professional | 81 · Minimal assistant surgeon | $2.04 | $2.75 | $3.16 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.04 Median $2.75 Typical High $3.16 | Professional | 82 · Assistant surgeon, no resident | $2.04 | $2.75 | $3.16 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $1.82 Median $2.40 Typical High $2.75 | Professional | AS · PA/NP assist | $1.82 | $2.40 | $2.75 |
Where Wisconsin sits
The same service costs 4.2 times more in Kansas than in Florida. 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· 5th of 51
$19.05
KS $23.99FL $5.75
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.