How much rates vary
Facilitymedian $200 · 10th to 90th $100 to $331Professionalmedian $200 · 10th to 90th $102 to $759
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $602.56 | Professional | None (both parts) | $128.82 | $199.53 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $831.76 | Professional | 26 · Professional part | $79.43 | $114.82 | $831.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $208.93 Typical High $758.58 | Professional | None (both parts) | $102.33 | $208.93 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $457.09 | Professional | 26 · Professional part | $58.88 | $117.49 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $75.86 Typical High $316.23 | Professional | TC · Technical part | $44.67 | $75.86 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $478.63 | Facility | None | $281.84 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $158.49 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $100.00 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $74.13 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $218.78 | Facility | None | $97.72 | $125.89 | $218.78 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $190.55 | $218.78 | $281.84 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $190.55 | Professional | 26 · Professional part | $109.65 | $125.89 | $190.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $89.13 | $120.23 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $218.78 | Facility | None | $95.50 | $117.49 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $107.15 | $302.00 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $199.53 Typical High $380.19 | Professional | 26 · Professional part | $70.79 | $199.53 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $89.13 Typical High $309.03 | Professional | TC · Technical part | $38.02 | $89.13 | $309.03 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
Network Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $93.33 | $120.23 | $204.17 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $67.61 | $144.54 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $38.90 | $51.29 | $63.10 |
Prevea360 Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $218.78 | Facility | None | $97.72 | $125.89 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $218.78 Typical High $331.13 | Professional | None | $114.82 | $218.78 | $331.13 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $158.49 | $158.49 | $208.93 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $91.20 | $144.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $67.61 | $67.61 | $83.18 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $316.23 | $467.74 | $891.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $263.03 Typical High $323.59 | Professional | 26 · Professional part | $218.78 | $263.03 | $323.59 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $109.65 | $144.54 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $245.47 | $501.19 | $794.33 |
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 $104.71 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $104.71 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $67.61 | $131.83 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $38.02 | $66.07 | $123.03 |
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 $30.20 Median $34.67 Typical High $44.67 | Professional | 80 · Assistant surgeon | $30.20 | $34.67 | $44.67 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $34.67 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $30.20 | $34.67 | $44.67 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $34.67 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $34.67 | $44.67 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $30.90 Typical High $38.90 | Professional | AS · PA/NP assist | $26.92 | $30.90 | $38.90 |
Where Wisconsin sits
The same service costs 3.9 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· 4th of 51
$200
AK $251UT $64.57
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.