How much rates vary
Facilitymedian $166 · 10th to 90th $60 to $457Professionalmedian $138 · 10th to 90th $58 to $417
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 $81.28 Median $81.28 Typical High $199.53 | Facility | None | $81.28 | $81.28 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $812.83 | Professional | None (both parts) | $61.66 | $81.28 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $263.03 | Professional | 26 · Professional part | $15.49 | $21.38 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $64.57 | Professional | TC · Technical part | $44.67 | $58.88 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $50.12 | $199.53 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $14.45 | $57.54 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $35.48 | $144.54 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $251.19 | Facility | None | $147.91 | $165.96 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $229.09 | Professional | None (both parts) | $66.07 | $83.18 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $61.66 | Professional | 26 · Professional part | $17.78 | $22.39 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $61.66 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $407.38 Typical High $549.54 | Facility | None | $60.26 | $407.38 | $549.54 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $549.54 | Facility | TC · Technical part | $354.81 | $436.52 | $549.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $100.00 | $131.83 | $151.36 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $35.48 | $38.90 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $93.33 | $112.20 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $269.15 | Facility | None | $44.67 | $64.57 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $60.26 | $190.55 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $17.38 | $60.26 | $91.20 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $43.65 | $151.36 | $234.42 |
Network Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Network Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $67.61 | $123.03 | $204.17 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $104.71 | Facility | None | $44.67 | $60.26 | $104.71 |
Quartz Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $234.42 | Professional | None | $60.26 | $120.23 | $234.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $173.78 | Professional | None (both parts) | $77.62 | $77.62 | $173.78 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $20.42 | $50.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $123.03 | Professional | TC · Technical part | $57.54 | $57.54 | $123.03 |
Security Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Security Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $331.13 | $363.08 | $457.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $104.71 | $128.82 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $281.84 | $331.13 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $95.50 | $162.18 | $331.13 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $25.12 | $72.44 | $95.50 |
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 $52.48 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $52.48 | $123.03 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $15.14 | $33.88 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $38.90 | $87.10 | $186.21 |
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 $56.23 Median $70.79 Typical High $89.13 | Facility | 80 · Assistant surgeon | $56.23 | $70.79 | $89.13 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $56.23 Median $70.79 Typical High $89.13 | Facility | 81 · Minimal assistant surgeon | $56.23 | $70.79 | $89.13 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $56.23 Median $70.79 Typical High $89.13 | Facility | 82 · Assistant surgeon, no resident | $56.23 | $70.79 | $89.13 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $50.12 Median $61.66 Typical High $77.62 | Facility | AS · PA/NP assist | $50.12 | $61.66 | $77.62 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $20.89 Typical High $23.99 | Professional | 80 · Assistant surgeon | $15.85 | $20.89 | $23.99 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $20.89 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $15.85 | $20.89 | $23.99 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $20.89 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $20.89 | $23.99 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $18.20 Typical High $20.89 | Professional | AS · PA/NP assist | $13.80 | $18.20 | $20.89 |
Where Wisconsin sits
The same service costs 4.7 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· 2nd of 51
$138
AK $155UT $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.