How much rates vary
Facilitymedian $275 · 10th to 90th $117 to $537Professionalmedian $245 · 10th to 90th $110 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 $158.49 Median $158.49 Typical High $199.53 | Facility | None | $158.49 | $158.49 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $660.69 | Professional | None (both parts) | $123.03 | $158.49 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $380.19 | Professional | 26 · Professional part | $30.20 | $42.66 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $83.18 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $338.84 Typical High $831.76 | Professional | None (both parts) | $100.00 | $338.84 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $91.20 Typical High $229.09 | Professional | 26 · Professional part | $27.54 | $91.20 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $245.47 Typical High $616.60 | Professional | TC · Technical part | $72.44 | $245.47 | $616.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $36.31 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $489.78 | Facility | None | $288.40 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $125.89 | $162.18 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $42.66 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $309.03 | Professional | TC · Technical part | $91.20 | $120.23 | $309.03 |
DeanCare Setting Facility Modifier None Typical Low $117.49 Median $478.63 Typical High $645.65 | Facility | None | $117.49 | $478.63 | $645.65 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $512.86 Typical High $645.65 | Facility | TC · Technical part | $407.38 | $512.86 | $645.65 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $186.21 | $199.53 | $269.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $53.70 | $75.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $138.04 | $144.54 | $194.98 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $269.15 | Facility | None | $97.72 | $204.17 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $125.89 | $331.13 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $34.67 | $93.33 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $239.88 Typical High $489.78 | Professional | TC · Technical part | $89.13 | $239.88 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Network Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $131.83 | $181.97 | $416.87 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $208.93 | Facility | None | $91.20 | $117.49 | $208.93 |
Quartz Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $457.09 | Professional | None | $125.89 | $257.04 | $457.09 |
Quartz Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $151.36 | $151.36 | $354.81 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $40.74 | $97.72 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $109.65 | $109.65 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $812.83 | Professional | None (both parts) | $309.03 | $489.78 | $812.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $72.44 | $95.50 | $102.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $245.47 | $275.42 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $199.53 | $398.11 | $707.95 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $134.90 Typical High $186.21 | Professional | 26 · Professional part | $51.29 | $134.90 | $186.21 |
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 $109.65 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $109.65 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $141.25 | Professional | 26 · Professional part | $30.20 | $58.88 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $79.43 | $151.36 | $363.08 |
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 $66.07 Median $81.28 Typical High $102.33 | Facility | 80 · Assistant surgeon | $66.07 | $81.28 | $102.33 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $81.28 Typical High $102.33 | Facility | 81 · Minimal assistant surgeon | $66.07 | $81.28 | $102.33 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $81.28 Typical High $102.33 | Facility | 82 · Assistant surgeon, no resident | $66.07 | $81.28 | $102.33 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $57.54 Median $70.79 Typical High $91.20 | Facility | AS · PA/NP assist | $57.54 | $70.79 | $91.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | 80 · Assistant surgeon | $30.20 | $31.62 | $43.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $30.20 | $31.62 | $43.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $31.62 | $43.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $27.54 Typical High $38.02 | Professional | AS · PA/NP assist | $26.30 | $27.54 | $38.02 |
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
$245
AK $309TX $83.18
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.