How much rates vary
Facilitymedian $186 · 10th to 90th $107 to $302Professionalmedian $186 · 10th to 90th $95 to $692
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $186.21 Typical High $575.44 | Professional | None (both parts) | $112.20 | $186.21 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $741.31 | Professional | 26 · Professional part | $70.79 | $107.15 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $40.74 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $691.83 | Professional | None (both parts) | $95.50 | $190.55 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $109.65 Typical High $426.58 | Professional | 26 · Professional part | $53.70 | $109.65 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $295.12 | Professional | TC · Technical part | $41.69 | $70.79 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Facility | None | $263.03 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $144.54 | $162.18 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $91.20 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $72.44 | $141.25 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $199.53 | Facility | None | $89.13 | $114.82 | $199.53 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $177.83 | $204.17 | $257.04 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $100.00 | $117.49 | $173.78 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $83.18 | $112.20 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $213.80 | Facility | None | $95.50 | $158.49 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $281.84 Typical High $741.31 | Professional | None (both parts) | $100.00 | $281.84 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $64.57 | $181.97 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $81.28 Typical High $288.40 | Professional | TC · Technical part | $34.67 | $81.28 | $288.40 |
Network Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $162.18 | Facility | None | $144.54 | $144.54 | $162.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $85.11 | $109.65 | $186.21 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $61.66 | $131.83 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $36.31 | $47.86 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $199.53 | Facility | None | $89.13 | $114.82 | $199.53 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $309.03 | Professional | None | $107.15 | $204.17 | $309.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $144.54 | $144.54 | $190.55 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $83.18 | $131.83 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $61.66 | $87.10 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
Security Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $281.84 | $416.87 | $831.76 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $95.50 | $239.88 | $302.00 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $81.28 | $95.50 | $128.82 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $229.09 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $229.09 | $446.68 | $741.31 |
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 $95.50 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $95.50 | $181.97 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $120.23 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $120.23 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $61.66 | $114.82 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | 80 · Assistant surgeon | $28.18 | $32.36 | $41.69 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $28.18 | $32.36 | $41.69 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $32.36 | $41.69 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $28.18 Typical High $36.31 | Professional | AS · PA/NP assist | $24.55 | $28.18 | $36.31 |
Where Wisconsin sits
The same service costs 3.2 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· 7th of 51
$186
AK $229UT $70.79
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.