How much rates vary
Facilitymedian $589 · 10th to 90th $200 to $1,122Professionalmedian $692 · 10th to 90th $263 to $2,089
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 $323.59 Typical High $323.59 | Facility | None | $199.53 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $3,311.31 | Professional | None (both parts) | $323.59 | $323.59 | $3,311.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $1,318.26 | Professional | 26 · Professional part | $102.33 | $102.33 | $1,318.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $870.96 Typical High $2,089.30 | Professional | None (both parts) | $218.78 | $870.96 | $2,089.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $269.15 Typical High $660.69 | Professional | 26 · Professional part | $66.07 | $269.15 | $660.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $588.84 Typical High $1,412.54 | Professional | TC · Technical part | $147.91 | $588.84 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $660.69 Typical High $1,000.00 | Facility | None | $588.84 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $1,148.15 | Professional | None (both parts) | $288.40 | $338.84 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $338.84 | Professional | 26 · Professional part | $83.18 | $109.65 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $794.33 | Professional | TC · Technical part | $199.53 | $234.42 | $794.33 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $933.25 Typical High $1,288.25 | Facility | None | $239.88 | $933.25 | $1,288.25 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $1,047.13 Typical High $1,318.26 | Facility | TC · Technical part | $851.14 | $1,047.13 | $1,318.26 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $602.56 | Professional | None (both parts) | $398.11 | $537.03 | $602.56 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $173.78 | $190.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $371.54 Typical High $416.87 | Professional | TC · Technical part | $269.15 | $371.54 | $416.87 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $2,511.89 | Facility | None | $199.53 | $331.13 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,148.15 Typical High $1,737.80 | Professional | None (both parts) | $457.09 | $1,148.15 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $257.04 Typical High $436.52 | Professional | 26 · Professional part | $89.13 | $257.04 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $1,000.00 Typical High $1,659.59 | Professional | TC · Technical part | $281.84 | $1,000.00 | $1,659.59 |
Network Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $269.15 | $562.34 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $467.74 | Facility | None | $199.53 | $331.13 | $467.74 |
Quartz Setting Professional Modifier None Typical Low $234.42 Median $478.63 Typical High $954.99 | Professional | None | $234.42 | $478.63 | $954.99 |
Quartz Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $794.33 | Professional | None (both parts) | $309.03 | $309.03 | $794.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $239.88 | Professional | 26 · Professional part | $97.72 | $97.72 | $239.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $213.80 | $562.34 |
Security Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,548.82 Typical High $1,949.84 | Professional | None (both parts) | $1,258.93 | $1,548.82 | $1,949.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $436.52 Typical High $501.19 | Professional | 26 · Professional part | $346.74 | $436.52 | $501.19 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,202.26 | Professional | TC · Technical part | $831.76 | $1,047.13 | $1,202.26 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,096.48 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $323.59 Typical High $407.38 | Professional | 26 · Professional part | $117.49 | $323.59 | $407.38 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $724.44 Typical High $1,995.26 | Professional | None (both parts) | $263.03 | $724.44 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $181.97 Typical High $346.74 | Professional | 26 · Professional part | $81.28 | $181.97 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $512.86 Typical High $1,778.28 | Professional | TC · Technical part | $181.97 | $512.86 | $1,778.28 |
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 $134.90 Median $165.96 Typical High $213.80 | Facility | 80 · Assistant surgeon | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $165.96 Typical High $213.80 | Facility | 81 · Minimal assistant surgeon | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $165.96 Typical High $213.80 | Facility | 82 · Assistant surgeon, no resident | $134.90 | $165.96 | $213.80 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $117.49 Median $147.91 Typical High $186.21 | Facility | AS · PA/NP assist | $117.49 | $147.91 | $186.21 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 80 · Assistant surgeon | $63.10 | $87.10 | $95.50 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $63.10 | $87.10 | $95.50 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $87.10 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $87.10 | $95.50 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $75.86 Typical High $85.11 | Professional | AS · PA/NP assist | $54.95 | $75.86 | $85.11 |
Where Wisconsin sits
The same service costs 6.5 times more in Wyoming 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· 2nd of 51
$676
WY $851TX $132
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.