How much rates vary
Facilitymedian $148 · 10th to 90th $87 to $245Professionalmedian $148 · 10th to 90th $78 to $562
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $416.87 | Professional | None (both parts) | $91.20 | $147.91 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $501.19 | Professional | 26 · Professional part | $47.86 | $70.79 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $562.34 | Professional | None (both parts) | $77.62 | $123.03 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $281.84 | Professional | 26 · Professional part | $36.31 | $72.44 | $281.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $77.62 Typical High $295.12 | Professional | TC · Technical part | $41.69 | $77.62 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $239.88 Typical High $354.81 | Facility | None | $208.93 | $239.88 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $117.49 | $131.83 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $61.66 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $67.61 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $162.18 | Facility | None | $72.44 | $93.33 | $162.18 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $141.25 | $162.18 | $208.93 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $75.86 | $102.33 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $81.28 | $109.65 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $213.80 | Facility | None | $87.10 | $120.23 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $213.80 Typical High $562.34 | Professional | None (both parts) | $77.62 | $213.80 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $120.23 Typical High $234.42 | Professional | 26 · Professional part | $43.65 | $120.23 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $81.28 Typical High $288.40 | Professional | TC · Technical part | $29.51 | $81.28 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $117.49 | Facility | None | $114.82 | $114.82 | $117.49 |
Network Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $69.18 | $89.13 | $134.90 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $41.69 | $89.13 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $36.31 | $45.71 | $50.12 |
Prevea360 Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $162.18 | Facility | None | $72.44 | $93.33 | $162.18 |
Quartz Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $251.19 | Professional | None | $87.10 | $165.96 | $251.19 |
Quartz Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $117.49 | $117.49 | $151.36 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $54.95 | $87.10 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $61.66 | $61.66 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $302.00 Typical High $660.69 | Professional | None (both parts) | $102.33 | $302.00 | $660.69 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $158.49 | $199.53 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $79.43 | $107.15 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $186.21 | $323.59 | $588.84 |
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 $75.86 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $75.86 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $41.69 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $114.82 | Professional | TC · Technical part | $30.20 | $58.88 | $114.82 |
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 $74.13 Median $74.13 Typical High $208.93 | Professional | 52 · Reduced service | $74.13 | $74.13 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $85.11 | Professional | 53 · Discontinued | $30.20 | $30.20 | $85.11 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $26.30 Typical High $33.11 | Professional | 80 · Assistant surgeon | $22.39 | $26.30 | $33.11 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $26.30 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $22.39 | $26.30 | $33.11 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $26.30 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $26.30 | $33.11 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $22.91 Typical High $28.84 | Professional | AS · PA/NP assist | $19.95 | $22.91 | $28.84 |
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· 6th of 51
$148
AK $182NY $53.70
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.