How much rates vary
Facilitymedian $93 · 10th to 90th $54 to $151Professionalmedian $93 · 10th to 90th $48 to $347
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $251.19 | Professional | None (both parts) | $58.88 | $93.33 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $181.97 | Professional | 26 · Professional part | $26.92 | $33.88 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $85.11 Typical High $346.74 | Professional | None (both parts) | $47.86 | $85.11 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $37.15 Typical High $134.90 | Professional | 26 · Professional part | $17.38 | $37.15 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $218.78 | Professional | TC · Technical part | $30.90 | $45.71 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $162.18 | Professional | None (both parts) | $72.44 | $79.43 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $26.30 | $29.51 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $104.71 | Professional | TC · Technical part | $45.71 | $50.12 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $100.00 | Facility | None | $44.67 | $57.54 | $100.00 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $87.10 | $97.72 | $128.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $36.31 | $48.98 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $60.26 | $81.28 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $100.00 | Facility | None | $44.67 | $63.10 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $125.89 Typical High $354.81 | Professional | None (both parts) | $46.77 | $125.89 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $58.88 Typical High $131.83 | Professional | 26 · Professional part | $22.91 | $58.88 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $58.88 Typical High $213.80 | Professional | TC · Technical part | $21.88 | $58.88 | $213.80 |
Network Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $72.44 | Facility | None | $70.79 | $70.79 | $72.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $42.66 | $54.95 | $83.18 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.95 Typical High $48.98 | Professional | 26 · Professional part | $15.49 | $19.95 | $48.98 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $33.11 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $100.00 | Facility | None | $44.67 | $57.54 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $151.36 | Professional | None | $53.70 | $100.00 | $151.36 |
Quartz Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $72.44 | $72.44 | $93.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $26.30 | $40.74 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | TC · Technical part | $45.71 | $45.71 | $54.95 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
Security Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $125.89 | $186.21 | $407.38 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $39.81 | $89.13 | $112.20 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $58.88 | $79.43 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $45.71 | $85.11 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $20.42 | $40.74 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $83.18 | Professional | TC · Technical part | $22.39 | $42.66 | $83.18 |
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 $14.13 Median $15.85 Typical High $20.42 | Professional | 80 · Assistant surgeon | $14.13 | $15.85 | $20.42 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $15.85 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $14.13 | $15.85 | $20.42 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $15.85 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $15.85 | $20.42 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $13.80 Typical High $18.20 | Professional | AS · PA/NP assist | $12.30 | $13.80 | $18.20 |
Where Wisconsin sits
The same service costs 3.6 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
$93.33
AK $112UT $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.