How much rates vary
Facilitymedian $200 · 10th to 90th $72 to $437Professionalmedian $166 · 10th to 90th $69 to $479
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 $97.72 Median $97.72 Typical High $199.53 | Facility | None | $97.72 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $575.44 | Professional | None (both parts) | $75.86 | $97.72 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $229.09 | Professional | 26 · Professional part | $24.55 | $31.62 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $53.70 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $63.10 | $251.19 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $20.42 | $81.28 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $42.66 | $169.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $199.53 Typical High $302.00 | Facility | None | $177.83 | $199.53 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $269.15 | Professional | None (both parts) | $74.13 | $100.00 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $89.13 | Professional | 26 · Professional part | $25.70 | $33.11 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $181.97 | Professional | TC · Technical part | $51.29 | $69.18 | $181.97 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $398.11 Typical High $537.03 | Facility | None | $72.44 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $346.74 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $120.23 | $162.18 | $181.97 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $52.48 | $57.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $104.71 | $125.89 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $269.15 | Facility | None | $56.23 | $77.62 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $74.13 | $234.42 | $416.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $26.30 | $85.11 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $46.77 | $158.49 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $141.25 | Facility | None | $95.50 | $95.50 | $141.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $91.20 | $112.20 | $239.88 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $35.48 | $83.18 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $77.62 | $177.83 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | None | $56.23 | $72.44 | $128.82 |
Quartz Setting Professional Modifier None Typical Low $72.44 Median $144.54 Typical High $288.40 | Professional | None | $72.44 | $144.54 | $288.40 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $93.33 | $93.33 | $204.17 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $30.20 | $74.13 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $64.57 | $131.83 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $398.11 | $407.38 | $524.81 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $123.03 | $186.21 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $281.84 | $331.13 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $36.31 | $87.10 | $134.90 |
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 $64.57 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $64.57 | $134.90 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $22.91 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $41.69 | $89.13 | $173.78 |
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 $54.95 Median $67.61 Typical High $87.10 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $87.10 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $87.10 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $75.86 | Facility | AS · PA/NP assist | $47.86 | $60.26 | $75.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $26.30 Typical High $29.51 | Professional | 80 · Assistant surgeon | $19.50 | $26.30 | $29.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $26.30 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $19.50 | $26.30 | $29.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $26.30 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $26.30 | $29.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $22.91 Typical High $25.70 | Professional | AS · PA/NP assist | $16.98 | $22.91 | $25.70 |
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· 3rd of 51
$166
AK $195UT $33.11
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.