How much rates vary
Facilitymedian $724 · 10th to 90th $269 to $1,585Professionalmedian $977 · 10th to 90th $389 to $3,090
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 $199.53 Median $724.44 Typical High $724.44 | Facility | None | $199.53 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $4,466.84 | Professional | None (both parts) | $724.44 | $724.44 | $4,466.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $1,288.25 | Professional | 26 · Professional part | $173.78 | $173.78 | $1,288.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $346.74 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $1,288.25 Typical High $3,090.30 | Professional | None (both parts) | $323.59 | $1,288.25 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $295.12 Typical High $741.31 | Professional | 26 · Professional part | $74.13 | $295.12 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $1,000.00 Typical High $2,344.23 | Professional | TC · Technical part | $245.47 | $1,000.00 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,479.11 | Facility | None | $870.96 | $1,000.00 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $1,862.09 | Professional | None (both parts) | $457.09 | $537.03 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $371.54 | Professional | 26 · Professional part | $85.11 | $120.23 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $407.38 Typical High $1,412.54 | Professional | TC · Technical part | $354.81 | $407.38 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $354.81 Median $1,230.27 Typical High $1,737.80 | Facility | None | $354.81 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $588.84 Median $812.83 Typical High $891.25 | Professional | None (both parts) | $588.84 | $812.83 | $891.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $138.04 | $190.55 | $213.80 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $616.60 Typical High $691.83 | Professional | TC · Technical part | $446.68 | $616.60 | $691.83 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $2,951.21 | Facility | None | $295.12 | $630.96 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,348.96 Typical High $3,019.95 | Professional | None (both parts) | $512.86 | $1,348.96 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $295.12 Typical High $524.81 | Professional | 26 · Professional part | $95.50 | $295.12 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $1,202.26 Typical High $2,630.27 | Professional | TC · Technical part | $416.87 | $1,202.26 | $2,630.27 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $891.25 | Facility | None | $537.03 | $537.03 | $891.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $977.24 Typical High $1,318.26 | Professional | None (both parts) | $501.19 | $977.24 | $1,318.26 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $309.03 | Professional | 26 · Professional part | $109.65 | $158.49 | $309.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $831.76 Typical High $1,023.29 | Professional | TC · Technical part | $398.11 | $831.76 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $575.44 Typical High $707.95 | Facility | None | $295.12 | $575.44 | $707.95 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $724.44 Typical High $1,412.54 | Professional | None | $346.74 | $724.44 | $1,412.54 |
Quartz Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,202.26 | Professional | None (both parts) | $457.09 | $457.09 | $1,202.26 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $109.65 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $354.81 | $354.81 | $954.99 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,398.83 Typical High $2,884.03 | Professional | None (both parts) | $1,905.46 | $2,398.83 | $2,884.03 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $512.86 Typical High $660.69 | Professional | 26 · Professional part | $436.52 | $512.86 | $660.69 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $2,089.30 Typical High $2,454.71 | Professional | TC · Technical part | $1,659.59 | $2,089.30 | $2,454.71 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $389.05 | $912.01 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $199.53 Typical High $389.05 | Professional | 26 · Professional part | $87.10 | $199.53 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $758.58 Typical High $1,380.38 | Professional | TC · Technical part | $302.00 | $758.58 | $1,380.38 |
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 $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 80 · Assistant surgeon | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $128.82 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $128.82 | $144.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $112.20 Typical High $125.89 | Professional | AS · PA/NP assist | $83.18 | $112.20 | $125.89 |
Where Wisconsin sits
The same service costs 5.6 times more in Wyoming 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· 3rd of 51
$955
WY $1,259TX $224
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.