How much rates vary
Facilitymedian $98 · 10th to 90th $35 to $245Professionalmedian $81 · 10th to 90th $32 to $224
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 $47.86 Median $47.86 Typical High $199.53 | Facility | None | $47.86 | $47.86 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $398.11 | Professional | None (both parts) | $31.62 | $47.86 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $134.90 | Professional | 26 · Professional part | $9.55 | $14.13 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $21.38 | $33.88 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $30.20 | $120.23 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $9.55 | $38.02 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $20.89 | $75.86 | $158.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.02 Median $26.92 Typical High $39.81 | Professional | None (both parts) | $12.02 | $26.92 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $128.82 | Professional | None (both parts) | $43.65 | $48.98 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $42.66 | Professional | 26 · Professional part | $12.30 | $14.79 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $91.20 | Professional | TC · Technical part | $30.90 | $34.67 | $91.20 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $223.87 Typical High $302.00 | Facility | None | $35.48 | $223.87 | $302.00 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $302.00 | Facility | TC · Technical part | $194.98 | $239.88 | $302.00 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $58.88 | $74.13 | $89.13 |
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 $41.69 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $52.48 | $63.10 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $63.10 Typical High $223.87 | Facility | None | $29.51 | $63.10 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $35.48 | $120.23 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $42.66 Typical High $234.42 | Professional | 26 · Professional part | $12.02 | $42.66 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $22.91 | $89.13 | $141.25 |
Network Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Facility | None | $46.77 | $46.77 | $57.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $43.65 Typical High $125.89 | Professional | None (both parts) | $42.66 | $43.65 | $125.89 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $38.90 | Professional | 26 · Professional part | $14.13 | $16.22 | $38.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $85.11 | Professional | TC · Technical part | $26.30 | $29.51 | $85.11 |
Prevea360 Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $63.10 | Facility | None | $27.54 | $35.48 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $138.04 | Professional | None | $35.48 | $70.79 | $138.04 |
Quartz Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $104.71 | Professional | None (both parts) | $45.71 | $45.71 | $104.71 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $13.49 | $33.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $70.79 | Professional | TC · Technical part | $32.36 | $32.36 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $162.18 | $199.53 | $251.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $61.66 | $89.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $123.03 | $158.49 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $56.23 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $56.23 | $114.82 | $199.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $16.60 | $47.86 | $66.07 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $74.13 Typical High $158.49 | Professional | None (both parts) | $29.51 | $74.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $10.47 | $23.44 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $20.89 | $50.12 | $107.15 |
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 $30.90 Median $38.02 Typical High $48.98 | Facility | 80 · Assistant surgeon | $30.90 | $38.02 | $48.98 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $38.02 Typical High $48.98 | Facility | 81 · Minimal assistant surgeon | $30.90 | $38.02 | $48.98 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $38.02 Typical High $48.98 | Facility | 82 · Assistant surgeon, no resident | $30.90 | $38.02 | $48.98 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $26.92 Median $33.88 Typical High $42.66 | Facility | AS · PA/NP assist | $26.92 | $33.88 | $42.66 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $11.75 Typical High $14.13 | Professional | 80 · Assistant surgeon | $9.33 | $11.75 | $14.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $11.75 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $9.33 | $11.75 | $14.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $11.75 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $11.75 | $14.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $10.23 Typical High $12.59 | Professional | AS · PA/NP assist | $8.13 | $10.23 | $12.59 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska 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· 2nd of 51
$81.28
AK $93.33FL $24.55
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.