How much rates vary
Facilitymedian $85 · 10th to 90th $49 to $141Professionalmedian $85 · 10th to 90th $45 to $309
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $309.03 | Professional | None (both parts) | $58.88 | $85.11 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $204.17 | Professional | 26 · Professional part | $20.42 | $28.18 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $316.23 | Professional | None (both parts) | $44.67 | $75.86 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.18 Typical High $112.20 | Professional | 26 · Professional part | $14.13 | $28.18 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $213.80 | Professional | TC · Technical part | $30.20 | $46.77 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $204.17 | Facility | None | $120.23 | $134.90 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $66.07 | $74.13 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $23.99 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $47.86 | $102.33 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | None | $40.74 | $52.48 | $93.33 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $81.28 | $89.13 | $117.49 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $30.20 | $39.81 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $60.26 | $79.43 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $114.82 | Facility | None | $40.74 | $52.48 | $114.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $114.82 Typical High $309.03 | Professional | None (both parts) | $38.90 | $114.82 | $309.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $16.98 | $47.86 | $93.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $60.26 Typical High $213.80 | Professional | TC · Technical part | $17.78 | $60.26 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Facility | None | $53.70 | $53.70 | $67.61 |
Network Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $38.90 | $50.12 | $63.10 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $16.22 | $33.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $26.30 | $34.67 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | None | $40.74 | $52.48 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $48.98 Median $93.33 Typical High $141.25 | Professional | None | $48.98 | $93.33 | $141.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $66.07 | $66.07 | $85.11 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $44.67 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $380.19 | Professional | None (both parts) | $93.33 | $141.25 | $380.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $63.10 | $79.43 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $47.86 | $63.10 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $75.86 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $75.86 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $38.90 | $77.62 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $16.60 | $31.62 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $17.78 | $42.66 | $85.11 |
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 $12.88 Median $14.45 Typical High $19.05 | Professional | 80 · Assistant surgeon | $12.88 | $14.45 | $19.05 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | 81 · Minimal assistant surgeon | $12.88 | $14.45 | $19.05 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $14.45 Typical High $19.05 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $14.45 | $19.05 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $12.59 Typical High $16.60 | Professional | AS · PA/NP assist | $11.22 | $12.59 | $16.60 |
Where Wisconsin sits
The same service costs 3.7 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· 5th of 51
$85.11
AK $102NY $27.54
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.