How much rates vary
Facilitymedian $251 · 10th to 90th $102 to $525Professionalmedian $219 · 10th to 90th $98 to $603
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 $138.04 Median $138.04 Typical High $199.53 | Facility | None | $138.04 | $138.04 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $1,380.38 | Professional | None (both parts) | $138.04 | $138.04 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $512.86 | Professional | 26 · Professional part | $42.66 | $42.66 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $309.03 Typical High $741.31 | Professional | None (both parts) | $91.20 | $309.03 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $27.54 | $91.20 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $208.93 Typical High $512.86 | Professional | TC · Technical part | $63.10 | $208.93 | $512.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $35.48 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $35.48 | $91.20 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $426.58 | Facility | None | $251.19 | $288.40 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $380.19 | Professional | None (both parts) | $112.20 | $141.25 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $41.69 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $77.62 | $100.00 | $263.03 |
DeanCare Setting Facility Modifier None Typical Low $102.33 Median $478.63 Typical High $645.65 | Facility | None | $102.33 | $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 $165.96 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $165.96 | $173.78 | $245.47 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $52.48 | $75.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $120.23 | $169.82 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $269.15 | Facility | None | $81.28 | $109.65 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $112.20 | $302.00 | $602.56 |
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 $75.86 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $75.86 | $204.17 | $426.58 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Network Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $114.82 | $158.49 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $181.97 | Facility | None | $81.28 | $102.33 | $181.97 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $407.38 | Professional | None | $102.33 | $213.80 | $407.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $316.23 | Professional | None (both parts) | $131.83 | $131.83 | $316.23 |
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 $93.33 Median $93.33 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $93.33 | $213.80 |
Security Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Security Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $257.04 | $457.09 | $758.58 |
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 $158.49 Median $208.93 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $208.93 | $229.09 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $114.82 | $173.78 |
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 $97.72 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $97.72 | $186.21 | $446.68 |
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 $67.61 Median $128.82 Typical High $309.03 | Professional | TC · Technical part | $67.61 | $128.82 | $309.03 |
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 $26.30 Median $27.54 Typical High $38.90 | Professional | 80 · Assistant surgeon | $26.30 | $27.54 | $38.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $27.54 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $26.30 | $27.54 | $38.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $27.54 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $27.54 | $38.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $23.99 Typical High $33.88 | Professional | AS · PA/NP assist | $22.91 | $23.99 | $33.88 |
Where Wisconsin sits
The same service costs 3.9 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
$224
AK $282UT $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.