How much rates vary
Facilitymedian $309 · 10th to 90th $145 to $437Professionalmedian $324 · 10th to 90th $141 to $832
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 $186.21 Median $194.98 Typical High $199.53 | Facility | None | $186.21 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $630.96 | Professional | None (both parts) | $144.54 | $194.98 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $309.03 | Professional | 26 · Professional part | $37.15 | $54.95 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $138.04 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $501.19 Typical High $1,023.29 | Professional | None (both parts) | $123.03 | $501.19 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $141.25 Typical High $288.40 | Professional | 26 · Professional part | $35.48 | $141.25 | $288.40 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $89.13 | $354.81 | $741.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $45.71 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $45.71 | $109.65 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $537.03 | Facility | None | $363.08 | $407.38 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $162.18 | $204.17 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $154.88 | Professional | 26 · Professional part | $43.65 | $57.54 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $407.38 | Professional | TC · Technical part | $117.49 | $144.54 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $257.04 | Facility | None | $112.20 | $144.54 | $257.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $363.08 | Professional | None (both parts) | $234.42 | $323.59 | $363.08 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $91.20 | $100.00 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $257.04 | Professional | TC · Technical part | $169.82 | $229.09 | $257.04 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $489.78 | Facility | None | $162.18 | $331.13 | $489.78 |
Medica Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $309.03 Typical High $562.34 | Facility | TC · Technical part | $177.83 | $309.03 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $158.49 | $446.68 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $128.82 Typical High $229.09 | Professional | 26 · Professional part | $46.77 | $128.82 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $389.05 Typical High $602.56 | Professional | TC · Technical part | $114.82 | $389.05 | $602.56 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $162.18 | $295.12 | $512.86 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $257.04 | Facility | None | $112.20 | $144.54 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $562.34 | Professional | None | $141.25 | $281.84 | $562.34 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $186.21 | $186.21 | $446.68 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $52.48 | $125.89 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $131.83 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $323.59 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $323.59 | $467.74 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $109.65 | $162.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $275.42 | $416.87 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $776.25 | Professional | None (both parts) | $223.87 | $288.40 | $776.25 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $112.20 | $213.80 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $263.03 | $562.34 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $144.54 | $281.84 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $40.74 | $83.18 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $100.00 | $208.93 | $467.74 |
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 $38.02 Median $51.29 Typical High $57.54 | Professional | 80 · Assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $51.29 | $57.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $44.67 Typical High $50.12 | Professional | AS · PA/NP assist | $33.11 | $44.67 | $50.12 |
Where Wisconsin sits
The same service costs 5.4 times more in Vermont 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· 5th of 51
$324
VT $550TX $102
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.