How much rates vary
Facilitymedian $120 · 10th to 90th $60 to $324Professionalmedian $71 · 10th to 90th $47 to $182
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 $60.26 Median $60.26 Typical High $69.18 | Facility | None | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None (both parts) | $60.26 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $25.70 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $34.67 | $34.67 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $190.55 | Professional | None (both parts) | $60.26 | $60.26 | $190.55 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $81.28 | Professional | 26 · Professional part | $26.30 | $26.30 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $104.71 | Professional | TC · Technical part | $33.88 | $33.88 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $295.12 | Facility | None | $173.78 | $194.98 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $46.77 | $56.23 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $56.23 | Professional | 26 · Professional part | $19.95 | $23.44 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $79.43 | Professional | TC · Technical part | $26.92 | $33.11 | $79.43 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $131.83 | Facility | None | $58.88 | $75.86 | $131.83 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $112.20 | $141.25 | $158.49 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $69.18 | Professional | 26 · Professional part | $46.77 | $60.26 | $69.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $83.18 | $89.13 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $331.13 | Facility | None | $58.88 | $87.10 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $398.11 | Professional | None (both parts) | $58.88 | $77.62 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $165.96 | Professional | 26 · Professional part | $25.12 | $30.20 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $257.04 | Professional | TC · Technical part | $33.88 | $44.67 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $134.90 | Facility | None | $93.33 | $93.33 | $134.90 |
Network Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $177.83 | Professional | None (both parts) | $46.77 | $56.23 | $177.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $18.62 | $36.31 | $64.57 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $25.12 | $48.98 | $138.04 |
Prevea360 Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $131.83 | Facility | None | $58.88 | $75.86 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $162.18 | Professional | None | $67.61 | $85.11 | $162.18 |
Quartz Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $125.89 | Professional | None (both parts) | $46.77 | $46.77 | $125.89 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $19.95 | $53.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $72.44 | Professional | TC · Technical part | $26.92 | $26.92 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Security Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $97.72 | $104.71 | $223.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $83.18 | $83.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $69.18 | Professional | TC · Technical part | $20.89 | $22.39 | $69.18 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $213.80 | Professional | None (both parts) | $67.61 | $70.79 | $213.80 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $91.20 | Professional | 26 · Professional part | $28.18 | $28.84 | $91.20 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $40.74 | $123.03 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $144.54 | Professional | None (both parts) | $61.66 | $70.79 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $29.51 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $35.48 | $40.74 | $79.43 |
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 $30.20 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | 52 · Reduced service | $95.50 | $95.50 | $158.49 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $22.91 Typical High $25.70 | Professional | 80 · Assistant surgeon | $18.20 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $22.91 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $18.20 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $22.91 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $19.95 Typical High $22.39 | Professional | AS · PA/NP assist | $15.85 | $19.95 | $22.39 |
Where Wisconsin sits
The same service costs 3.5 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· 20th of 51
$70.79
AK $162FL $45.71
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.