How much rates vary
Facilitymedian $269 · 10th to 90th $110 to $457Professionalmedian $245 · 10th to 90th $102 to $692
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 $147.91 Median $147.91 Typical High $199.53 | Facility | None | $147.91 | $147.91 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $891.25 | Professional | None (both parts) | $112.20 | $147.91 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $295.12 | Professional | 26 · Professional part | $26.92 | $39.81 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $85.11 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $95.50 | $389.05 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $102.33 Typical High $208.93 | Professional | 26 · Professional part | $25.70 | $102.33 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $70.79 | $269.15 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $457.09 | Facility | None | $269.15 | $309.03 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $407.38 | Professional | None (both parts) | $109.65 | $151.36 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $112.20 | Professional | 26 · Professional part | $30.20 | $41.69 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $112.20 | $302.00 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $398.11 Typical High $537.03 | Facility | None | $109.65 | $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 $181.97 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $181.97 | $229.09 | $275.42 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $64.57 | $72.44 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $169.82 | $204.17 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $269.15 | Facility | None | $87.10 | $117.49 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $109.65 | $331.13 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $31.62 | $100.00 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $77.62 | $234.42 | $478.63 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $218.78 | Facility | None | $147.91 | $147.91 | $218.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $138.04 | $169.82 | $323.59 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $42.66 | $104.71 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $100.00 | $125.89 | $295.12 |
Prevea360 Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $194.98 | Facility | None | $87.10 | $109.65 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $436.52 | Professional | None | $109.65 | $218.78 | $436.52 |
Quartz Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $141.25 | $141.25 | $309.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $38.02 | $93.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $104.71 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $776.25 | Professional | None (both parts) | $549.54 | $616.60 | $776.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $147.91 | $218.78 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $436.52 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $436.52 | $489.78 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $45.71 | $102.33 | $162.18 |
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 $97.72 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $97.72 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $28.18 | $60.26 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $69.18 | $144.54 | $281.84 |
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 $28.84 Median $37.15 Typical High $44.67 | Professional | 80 · Assistant surgeon | $28.84 | $37.15 | $44.67 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $37.15 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $28.84 | $37.15 | $44.67 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $37.15 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $37.15 | $44.67 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $32.36 Typical High $38.90 | Professional | AS · PA/NP assist | $25.70 | $32.36 | $38.90 |
Where Wisconsin sits
The same service costs 3.8 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
$245
AK $288UT $75.86
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.