How much rates vary
Facilitymedian $200 · 10th to 90th $44 to $575Professionalmedian $107 · 10th to 90th $40 to $339
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 $57.54 Median $58.88 Typical High $199.53 | Facility | None | $57.54 | $58.88 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $524.81 | Professional | None (both parts) | $44.67 | $58.88 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $134.90 | Professional | 26 · Professional part | $10.47 | $14.13 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $44.67 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $134.90 Typical High $309.03 | Professional | None (both parts) | $36.31 | $134.90 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $9.12 | $37.15 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $27.54 | $109.65 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.02 Median $35.48 Typical High $47.86 | Professional | None (both parts) | $12.02 | $35.48 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $181.97 | Facility | None | $107.15 | $120.23 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $218.78 | Professional | None (both parts) | $56.23 | $66.07 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $40.74 | Professional | 26 · Professional part | $11.75 | $14.79 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $165.96 | Professional | TC · Technical part | $42.66 | $48.98 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $43.65 Median $398.11 Typical High $537.03 | Facility | None | $43.65 | $398.11 | $537.03 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $426.58 Typical High $537.03 | Facility | TC · Technical part | $338.84 | $426.58 | $537.03 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $72.44 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $72.44 | $95.50 | $109.65 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $23.44 | $26.30 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $54.95 | $70.79 | $85.11 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $338.84 Typical High $794.33 | Facility | None | $46.77 | $338.84 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $190.55 Typical High $537.03 | Professional | None (both parts) | $47.86 | $190.55 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $42.66 Typical High $97.72 | Professional | 26 · Professional part | $11.75 | $42.66 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $144.54 Typical High $489.78 | Professional | TC · Technical part | $37.15 | $144.54 | $489.78 |
Network Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $100.00 | Facility | None | $56.23 | $56.23 | $100.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $52.48 | $141.25 | $151.36 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $38.02 | Professional | 26 · Professional part | $13.49 | $16.22 | $38.02 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $40.74 | $112.20 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $77.62 | Facility | None | $33.11 | $43.65 | $77.62 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $91.20 Typical High $186.21 | Professional | None | $43.65 | $91.20 | $186.21 |
Quartz Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $144.54 | Professional | None (both parts) | $56.23 | $56.23 | $144.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $33.11 | Professional | 26 · Professional part | $13.49 | $13.49 | $33.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $107.15 | Professional | TC · Technical part | $42.66 | $42.66 | $107.15 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $239.88 | $302.00 | $380.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $77.62 | $95.50 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $251.19 | $288.40 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $69.18 | $138.04 | $309.03 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $16.60 | $44.67 | $61.66 |
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 $42.66 Median $102.33 Typical High $295.12 | Professional | None (both parts) | $42.66 | $102.33 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $22.91 Typical High $48.98 | Professional | 26 · Professional part | $10.00 | $22.91 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $75.86 Typical High $245.47 | Professional | TC · Technical part | $32.36 | $75.86 | $245.47 |
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 $85.11 | Facility | 80 · Assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $67.61 Typical High $85.11 | Facility | 82 · Assistant surgeon, no resident | $54.95 | $67.61 | $85.11 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $47.86 Median $58.88 Typical High $74.13 | Facility | AS · PA/NP assist | $47.86 | $58.88 | $74.13 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $15.14 Typical High $17.38 | Professional | 80 · Assistant surgeon | $11.48 | $15.14 | $17.38 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $15.14 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $11.48 | $15.14 | $17.38 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $15.14 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $15.14 | $17.38 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $13.18 Typical High $15.49 | Professional | AS · PA/NP assist | $10.00 | $13.18 | $15.49 |
Where Wisconsin sits
The same service costs 4.2 times more in Vermont than in Florida. 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
$107
VT $135FL $32.36
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.