How much rates vary
Facilitymedian $65 · 10th to 90th $32 to $151Professionalmedian $37 · 10th to 90th $25 to $95
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None (both parts) | $31.62 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 26 · Professional part | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | TC · Technical part | $16.60 | $16.60 | $17.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $100.00 | Professional | None (both parts) | $31.62 | $31.62 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $47.86 | Professional | 26 · Professional part | $15.49 | $15.49 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $51.29 | Professional | TC · Technical part | $16.60 | $16.60 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $151.36 | Facility | None | $89.13 | $102.33 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $70.79 | Professional | None (both parts) | $24.55 | $28.84 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $32.36 | Professional | 26 · Professional part | $11.75 | $13.49 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $15.49 Typical High $37.15 | Professional | TC · Technical part | $12.88 | $15.49 | $37.15 |
DeanCare Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $69.18 | Facility | None | $30.90 | $39.81 | $69.18 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $58.88 | $72.44 | $85.11 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $34.67 | $40.74 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $30.90 | $38.02 | $44.67 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $46.77 Typical High $151.36 | Facility | None | $30.90 | $46.77 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $45.71 Typical High $354.81 | Professional | None (both parts) | $30.90 | $45.71 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $97.72 | Professional | 26 · Professional part | $14.79 | $17.78 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $25.12 Typical High $181.97 | Professional | TC · Technical part | $16.22 | $25.12 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Facility | None | $50.12 | $50.12 | $69.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $97.72 | Professional | None (both parts) | $24.55 | $29.51 | $97.72 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $10.96 | $21.38 | $37.15 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $23.44 Typical High $70.79 | Professional | TC · Technical part | $12.02 | $23.44 | $70.79 |
Prevea360 Setting Facility Modifier None Typical Low $30.90 Median $39.81 Typical High $69.18 | Facility | None | $30.90 | $39.81 | $69.18 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $85.11 | Professional | None | $35.48 | $42.66 | $85.11 |
Quartz Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $66.07 | Professional | None (both parts) | $24.55 | $24.55 | $66.07 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $31.62 | Professional | 26 · Professional part | $11.75 | $11.75 | $31.62 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $12.88 Typical High $34.67 | Professional | TC · Technical part | $12.88 | $12.88 | $34.67 |
Security Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $51.29 | $63.10 | $117.49 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $45.71 | $48.98 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $33.88 | Professional | TC · Technical part | $22.39 | $23.99 | $33.88 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $35.48 Median $37.15 Typical High $112.20 | Professional | None (both parts) | $35.48 | $37.15 | $112.20 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $77.62 | Professional | None (both parts) | $32.36 | $37.15 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $17.78 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $19.05 | $39.81 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.59 |
DeanCare Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $85.11 | Professional | 52 · Reduced service | $48.98 | $48.98 | $85.11 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $11.75 Typical High $13.80 | Professional | 80 · Assistant surgeon | $9.55 | $11.75 | $13.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $11.75 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $9.55 | $11.75 | $13.80 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $11.75 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $11.75 | $13.80 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | AS · PA/NP assist | $8.32 | $10.23 | $12.02 |
Where Wisconsin sits
The same service costs 3.4 times more in Alaska than in New York. 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· 19th of 51
$37.15
AK $87.10NY $25.70
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.