How much rates vary
Facilitymedian $200 · 10th to 90th $138 to $407Professionalmedian $437 · 10th to 90th $170 to $1,288
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $186.21 Median $186.21 Typical High $199.53 | Facility | None | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $2,951.21 | Professional | None (both parts) | $186.21 | $186.21 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $1,380.38 | Professional | 26 · Professional part | $60.26 | $60.26 | $1,380.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $630.96 Typical High $1,380.38 | Professional | None (both parts) | $162.18 | $630.96 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $131.83 Typical High $323.59 | Professional | 26 · Professional part | $38.90 | $131.83 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $501.19 Typical High $1,122.02 | Professional | TC · Technical part | $123.03 | $501.19 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $575.44 | Facility | None | $338.84 | $380.19 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $630.96 | Professional | None (both parts) | $177.83 | $229.09 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $60.26 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $478.63 | Professional | TC · Technical part | $120.23 | $162.18 | $478.63 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $407.38 | Facility | None | $114.82 | $144.54 | $407.38 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $218.78 | $229.09 | $562.34 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $75.86 | $107.15 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $154.88 | $446.68 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $407.38 | Facility | None | $114.82 | $144.54 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $676.08 Typical High $1,288.25 | Professional | None (both parts) | $257.04 | $676.08 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $50.12 | $134.90 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $549.54 Typical High $1,023.29 | Professional | TC · Technical part | $208.93 | $549.54 | $1,023.29 |
Network Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Network Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $154.88 | $302.00 | $676.08 |
Prevea360 Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $407.38 | Facility | None | $114.82 | $144.54 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $630.96 | Professional | None | $117.49 | $251.19 | $630.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $630.96 | Professional | None (both parts) | $177.83 | $177.83 | $630.96 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $57.54 | $141.25 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $478.63 | Professional | TC · Technical part | $120.23 | $120.23 | $478.63 |
Security Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $891.25 Typical High $1,659.59 | Professional | None (both parts) | $537.03 | $891.25 | $1,659.59 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $134.90 | $144.54 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $549.54 Typical High $602.56 | Professional | TC · Technical part | $426.58 | $549.54 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $416.87 Typical High $1,023.29 | Professional | None (both parts) | $169.82 | $416.87 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $85.11 Typical High $204.17 | Professional | 26 · Professional part | $43.65 | $85.11 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $346.74 Typical High $831.76 | Professional | TC · Technical part | $123.03 | $346.74 | $831.76 |
4 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 Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $37.15 Typical High $89.13 | Professional | 80 · Assistant surgeon | $35.48 | $37.15 | $89.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $37.15 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $35.48 | $37.15 | $89.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $37.15 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $37.15 | $89.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $32.36 Typical High $77.62 | Professional | AS · PA/NP assist | $30.90 | $32.36 | $77.62 |
Where Wisconsin sits
The same service costs 6.8 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
$407
AK $490UT $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.