How much rates vary
Facilitymedian $100 · 10th to 90th $58 to $166Professionalmedian $100 · 10th to 90th $50 to $355
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $63.10 | $100.00 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $154.88 | Professional | 26 · Professional part | $27.54 | $39.81 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $371.54 | Professional | None (both parts) | $52.48 | $77.62 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $40.74 Typical High $158.49 | Professional | 26 · Professional part | $20.42 | $40.74 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $223.87 | Professional | TC · Technical part | $31.62 | $46.77 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $158.49 Typical High $239.88 | Facility | None | $141.25 | $158.49 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $77.62 | $85.11 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $109.65 | Professional | TC · Technical part | $46.77 | $51.29 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $109.65 | Facility | None | $47.86 | $61.66 | $109.65 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $95.50 | $107.15 | $138.04 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $43.65 | $66.07 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $63.10 | $83.18 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $109.65 | Facility | None | $47.86 | $72.44 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $134.90 Typical High $354.81 | Professional | None (both parts) | $45.71 | $134.90 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $23.99 | $67.61 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $60.26 Typical High $223.87 | Professional | TC · Technical part | $14.45 | $60.26 | $223.87 |
Network Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Facility | None | $61.66 | $61.66 | $77.62 |
Network Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $45.71 | $58.88 | $72.44 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $18.20 | $23.44 | $47.86 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $36.31 | Professional | TC · Technical part | $21.38 | $27.54 | $36.31 |
Prevea360 Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $109.65 | Facility | None | $47.86 | $61.66 | $109.65 |
Quartz Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $165.96 | Professional | None | $57.54 | $109.65 | $165.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $77.62 | $77.62 | $97.72 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $46.77 | $56.23 |
Security Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $446.68 | Professional | None (both parts) | $109.65 | $162.18 | $446.68 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $89.13 | $112.20 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $32.36 | $38.02 | $51.29 |
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 $45.71 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $45.71 | $89.13 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $23.44 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $43.65 Typical High $87.10 | Professional | TC · Technical part | $15.14 | $43.65 | $87.10 |
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 $15.14 Median $17.38 Typical High $22.39 | Professional | 80 · Assistant surgeon | $15.14 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $17.38 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $15.14 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $17.38 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $17.38 | $22.39 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $15.14 Typical High $19.50 | Professional | AS · PA/NP assist | $13.18 | $15.14 | $19.50 |
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· 5th of 51
$100
AK $120UT $30.90
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.