How much rates vary
Facilitymedian $60 · 10th to 90th $35 to $145Professionalmedian $66 · 10th to 90th $28 to $282
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 $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $467.74 | Professional | None (both parts) | $60.26 | $60.26 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $354.81 | Professional | 26 · Professional part | $23.99 | $23.99 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $48.98 Typical High $251.19 | Professional | None (both parts) | $27.54 | $48.98 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $21.38 Typical High $102.33 | Professional | 26 · Professional part | $11.75 | $21.38 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $28.84 Typical High $144.54 | Professional | TC · Technical part | $15.85 | $28.84 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $144.54 | Facility | None | $85.11 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $47.86 | $53.70 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $20.89 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $33.11 | $64.57 |
DeanCare Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $66.07 | Facility | None | $29.51 | $37.15 | $66.07 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $57.54 | $66.07 | $93.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $25.70 | $37.15 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $39.81 | $54.95 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $151.36 | Facility | None | $29.51 | $38.90 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $35.48 | $204.17 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $83.18 Typical High $223.87 | Professional | 26 · Professional part | $14.79 | $83.18 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $117.49 Typical High $281.84 | Professional | TC · Technical part | $20.89 | $117.49 | $281.84 |
Network Health Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $61.66 | Facility | None | $43.65 | $43.65 | $61.66 |
Network Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $89.13 | Professional | None (both parts) | $28.18 | $35.48 | $89.13 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $32.36 | Professional | 26 · Professional part | $10.96 | $13.49 | $32.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.50 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $19.50 | $46.77 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $66.07 | Facility | None | $29.51 | $37.15 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $138.04 | Professional | None | $36.31 | $74.13 | $138.04 |
Quartz Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $47.86 | $47.86 | $69.18 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $18.62 | $28.84 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $28.84 | $40.74 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Security Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $104.71 | $151.36 | $251.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $60.26 | $66.07 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $61.66 | $72.44 | $97.72 |
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 $67.61 Typical High $204.17 | Professional | None (both parts) | $32.36 | $67.61 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $26.30 Typical High $85.11 | Professional | 26 · Professional part | $13.49 | $26.30 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $42.66 Typical High $120.23 | Professional | TC · Technical part | $18.62 | $42.66 | $120.23 |
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 $30.20 Median $30.20 Typical High $234.42 | Professional | 52 · Reduced service | $30.20 | $30.20 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $93.33 | Professional | 53 · Discontinued | $12.02 | $12.02 | $93.33 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $10.47 Typical High $14.79 | Professional | 80 · Assistant surgeon | $9.12 | $10.47 | $14.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $10.47 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $9.12 | $10.47 | $14.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $10.47 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $10.47 | $14.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $9.33 Typical High $12.88 | Professional | AS · PA/NP assist | $7.94 | $9.33 | $12.88 |
Where Wisconsin sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$66.07
MN $74.13AL $28.18
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.