How much rates vary
Facilitymedian $525 · 10th to 90th $200 to $977Professionalmedian $631 · 10th to 90th $263 to $1,950
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 $295.12 Typical High $295.12 | Facility | None | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $4,265.80 | Professional | None (both parts) | $295.12 | $295.12 | $4,265.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $2,290.87 | Professional | 26 · Professional part | $114.82 | $114.82 | $2,290.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $933.25 Typical High $2,041.74 | Professional | None (both parts) | $245.47 | $933.25 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $251.19 Typical High $616.60 | Professional | 26 · Professional part | $74.13 | $251.19 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $691.83 Typical High $1,548.82 | Professional | TC · Technical part | $173.78 | $691.83 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $891.25 | Facility | None | $524.81 | $602.56 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $977.24 | Professional | None (both parts) | $281.84 | $338.84 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $309.03 | Professional | 26 · Professional part | $95.50 | $114.82 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $676.08 | Professional | TC · Technical part | $169.82 | $229.09 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $223.87 Median $851.14 Typical High $1,148.15 | Facility | None | $223.87 | $851.14 | $1,148.15 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Facility | TC · Technical part | $741.31 | $912.01 | $1,148.15 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $346.74 | $363.08 | $812.83 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $134.90 | $144.54 | $204.17 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $616.60 | Professional | TC · Technical part | $208.93 | $218.78 | $616.60 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $602.56 | Facility | None | $181.97 | $229.09 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $380.19 | $1,000.00 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $257.04 Typical High $489.78 | Professional | 26 · Professional part | $95.50 | $257.04 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $758.58 Typical High $1,445.44 | Professional | TC · Technical part | $281.84 | $758.58 | $1,445.44 |
Network Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $436.52 Typical High $1,023.29 | Professional | None (both parts) | $245.47 | $436.52 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $602.56 | Facility | None | $181.97 | $223.87 | $602.56 |
Quartz Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $977.24 | Professional | None | $190.55 | $398.11 | $977.24 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $977.24 | Professional | None (both parts) | $281.84 | $281.84 | $977.24 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $109.65 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $676.08 | Professional | TC · Technical part | $169.82 | $169.82 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,380.38 Typical High $2,398.83 | Professional | None (both parts) | $794.33 | $1,380.38 | $2,398.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $257.04 Typical High $275.42 | Professional | 26 · Professional part | $199.53 | $257.04 | $275.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $741.31 Typical High $831.76 | Professional | TC · Technical part | $588.84 | $741.31 | $831.76 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | 26 · Professional part | $501.19 | $501.19 | $588.84 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $616.60 Typical High $1,513.56 | Professional | None (both parts) | $263.03 | $616.60 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $380.19 | Professional | 26 · Professional part | $83.18 | $162.18 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $457.09 Typical High $1,148.15 | Professional | TC · Technical part | $173.78 | $457.09 | $1,148.15 |
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 $117.49 Median $147.91 Typical High $186.21 | Facility | 80 · Assistant surgeon | $117.49 | $147.91 | $186.21 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | 81 · Minimal assistant surgeon | $117.49 | $147.91 | $186.21 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | 82 · Assistant surgeon, no resident | $117.49 | $147.91 | $186.21 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $102.33 Median $128.82 Typical High $162.18 | Facility | AS · PA/NP assist | $102.33 | $128.82 | $162.18 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $58.88 Typical High $131.83 | Professional | 80 · Assistant surgeon | $54.95 | $58.88 | $131.83 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $58.88 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $54.95 | $58.88 | $131.83 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $58.88 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $58.88 | $131.83 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $51.29 Typical High $114.82 | Professional | AS · PA/NP assist | $48.98 | $51.29 | $114.82 |
Where Wisconsin sits
The same service costs 7.4 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· 2nd of 51
$631
AK $759UT $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.