How much rates vary
Facilitymedian $135 · 10th to 90th $78 to $219Professionalmedian $135 · 10th to 90th $68 to $490
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $117.49 | $134.90 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $524.81 | Professional | 26 · Professional part | $57.54 | $69.18 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $114.82 Typical High $537.03 | Professional | None (both parts) | $67.61 | $114.82 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $63.10 Typical High $316.23 | Professional | 26 · Professional part | $34.67 | $63.10 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $54.95 Typical High $245.47 | Professional | TC · Technical part | $33.11 | $54.95 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $316.23 | Facility | None | $186.21 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $104.71 | $117.49 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $114.82 | Professional | TC · Technical part | $51.29 | $58.88 | $114.82 |
DeanCare Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $144.54 | Facility | None | $64.57 | $83.18 | $144.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $125.89 | $144.54 | $186.21 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $74.13 | $100.00 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $67.61 | $91.20 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $144.54 | Facility | None | $64.57 | $95.50 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $70.79 | $239.88 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $138.04 Typical High $229.09 | Professional | 26 · Professional part | $41.69 | $138.04 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $29.51 | $102.33 | $229.09 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Network Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $154.88 | Professional | None (both parts) | $61.66 | $61.66 | $154.88 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $31.62 | $91.20 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $30.20 | $53.70 |
Prevea360 Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $144.54 | Facility | None | $64.57 | $83.18 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $223.87 | Professional | None | $77.62 | $151.36 | $223.87 |
Quartz Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $104.71 | $104.71 | $144.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $53.70 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | TC · Technical part | $51.29 | $51.29 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $208.93 | $245.47 | $588.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $134.90 | $134.90 | $165.96 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $85.11 | $107.15 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $69.18 | $138.04 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $79.43 Typical High $251.19 | Professional | 26 · Professional part | $39.81 | $79.43 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $29.51 | $58.88 | $141.25 |
6 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 $67.61 Median $67.61 Typical High $251.19 | Professional | 52 · Reduced service | $67.61 | $67.61 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $100.00 | Professional | 53 · Discontinued | $26.92 | $26.92 | $100.00 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $23.44 Typical High $29.51 | Professional | 80 · Assistant surgeon | $20.42 | $23.44 | $29.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $23.44 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $20.42 | $23.44 | $29.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $23.44 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $23.44 | $29.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $20.42 Typical High $26.30 | Professional | AS · PA/NP assist | $17.78 | $20.42 | $26.30 |
Where Wisconsin sits
The same service costs 3.3 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· 6th of 51
$135
AK $162UT $48.98
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.