How much rates vary
Facilitymedian $115 · 10th to 90th $66 to $200Professionalmedian $141 · 10th to 90th $62 to $398
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 $89.13 Median $89.13 Typical High $199.53 | Facility | None | $89.13 | $89.13 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $870.96 | Professional | None (both parts) | $89.13 | $89.13 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $436.52 | Professional | 26 · Professional part | $34.67 | $34.67 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $50.12 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $58.88 | $194.98 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $79.43 Typical High $186.21 | Professional | 26 · Professional part | $23.99 | $79.43 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $34.67 | $117.49 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $181.97 Typical High $275.42 | Facility | None | $162.18 | $181.97 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $251.19 | Professional | None (both parts) | $70.79 | $91.20 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $100.00 | Professional | 26 · Professional part | $30.20 | $36.31 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $151.36 | Professional | TC · Technical part | $39.81 | $56.23 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $114.82 | Facility | None | $53.70 | $66.07 | $114.82 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $104.71 | $112.20 | $158.49 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $43.65 | $64.57 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $67.61 | $95.50 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $114.82 | Facility | None | $53.70 | $66.07 | $114.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $69.18 | $186.21 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $29.51 | $79.43 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $39.81 | $104.71 | $239.88 |
Network Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Network Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $239.88 | Professional | None (both parts) | $74.13 | $102.33 | $239.88 |
Prevea360 Setting Facility Modifier None Typical Low $53.70 Median $66.07 Typical High $114.82 | Facility | None | $53.70 | $66.07 | $114.82 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $138.04 Typical High $269.15 | Professional | None | $67.61 | $138.04 | $269.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $85.11 | $85.11 | $194.98 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | 26 · Professional part | $33.11 | $33.11 | $83.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $52.48 | $112.20 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $169.82 | $288.40 | $478.63 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $81.28 | $87.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $107.15 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $107.15 | $120.23 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $42.66 | $95.50 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $114.82 Typical High $275.42 | Professional | None (both parts) | $60.26 | $114.82 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $50.12 Typical High $120.23 | Professional | 26 · Professional part | $25.70 | $50.12 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $66.07 Typical High $158.49 | Professional | TC · Technical part | $34.67 | $66.07 | $158.49 |
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 $16.98 Median $17.78 Typical High $25.70 | Professional | 80 · Assistant surgeon | $16.98 | $17.78 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $17.78 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $16.98 | $17.78 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $17.78 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $17.78 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $15.49 Typical High $22.39 | Professional | AS · PA/NP assist | $14.79 | $15.49 | $22.39 |
Where Wisconsin sits
The same service costs 5.9 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· 4th of 51
$141
AK $186UT $31.62
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.