How much rates vary
Facilitymedian $309 · 10th to 90th $148 to $513Professionalmedian $398 · 10th to 90th $174 to $1,023
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 $239.88 Typical High $239.88 | Facility | None | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $1,737.80 | Professional | None (both parts) | $186.21 | $239.88 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $407.38 | Professional | 26 · Professional part | $48.98 | $70.79 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $165.96 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $575.44 Typical High $1,258.93 | Professional | None (both parts) | $154.88 | $575.44 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $186.21 Typical High $380.19 | Professional | 26 · Professional part | $45.71 | $186.21 | $380.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $107.15 | $436.52 | $891.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $60.26 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $741.31 | Facility | None | $446.68 | $512.86 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $691.83 | Professional | None (both parts) | $199.53 | $251.19 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $199.53 | Professional | 26 · Professional part | $57.54 | $74.13 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $177.83 | $501.19 |
DeanCare Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $316.23 | Facility | None | $138.04 | $177.83 | $316.23 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $295.12 | $398.11 | $446.68 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $117.49 | $131.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $281.84 | $309.03 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $457.09 | Facility | None | $120.23 | $323.59 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $562.34 Typical High $1,023.29 | Professional | None (both parts) | $194.98 | $562.34 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $199.53 Typical High $302.00 | Professional | 26 · Professional part | $58.88 | $199.53 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $138.04 | $467.74 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Network Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $199.53 | $371.54 | $630.96 |
Prevea360 Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $316.23 | Facility | None | $138.04 | $177.83 | $316.23 |
Quartz Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $691.83 | Professional | None | $173.78 | $354.81 | $691.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $549.54 | Professional | None (both parts) | $229.09 | $229.09 | $549.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $67.61 | $165.96 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $158.49 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Security Health Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $426.58 | Facility | None | $288.40 | $389.05 | $426.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $398.11 | $616.60 | $1,000.00 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $147.91 | $223.87 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $263.03 | $338.84 | $524.81 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $954.99 | Professional | None (both parts) | $275.42 | $389.05 | $954.99 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $190.55 Typical High $281.84 | Professional | 26 · Professional part | $83.18 | $190.55 | $281.84 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $194.98 | $316.23 | $724.44 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $177.83 | $363.08 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $53.70 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $120.23 | $245.47 | $562.34 |
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 $46.77 Median $63.10 Typical High $70.79 | Professional | 80 · Assistant surgeon | $46.77 | $63.10 | $70.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $63.10 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $46.77 | $63.10 | $70.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $63.10 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $63.10 | $70.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $56.23 Typical High $61.66 | Professional | AS · PA/NP assist | $40.74 | $56.23 | $61.66 |
Where Wisconsin sits
The same service costs 4.0 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
$389
AK $479TX $120
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.