How much rates vary
Facilitymedian $115 · 10th to 90th $52 to $191Professionalmedian $85 · 10th to 90th $25 to $324
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $114.82 Typical High $288.40 | Professional | None (both parts) | $56.23 | $114.82 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $47.86 Typical High $288.40 | Professional | 26 · Professional part | $23.44 | $47.86 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $41.69 Typical High $371.54 | Professional | None (both parts) | $24.55 | $41.69 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $47.86 Typical High $190.55 | Professional | 26 · Professional part | $23.99 | $47.86 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $69.18 Typical High $269.15 | Professional | TC · Technical part | $34.67 | $69.18 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $186.21 Typical High $275.42 | Facility | None | $162.18 | $186.21 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $77.62 | $93.33 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $58.88 | $120.23 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $125.89 | Facility | None | $35.48 | $67.61 | $125.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $109.65 | $125.89 | $162.18 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $51.29 | $67.61 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $74.13 | $97.72 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $125.89 | Facility | None | $35.48 | $67.61 | $125.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $83.18 Typical High $323.59 | Professional | None (both parts) | $32.36 | $83.18 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
Network Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $44.67 | $52.48 | $69.18 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $31.62 | $31.62 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $35.48 Median $67.61 Typical High $125.89 | Facility | None | $35.48 | $67.61 | $125.89 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $190.55 | Professional | None | $64.57 | $100.00 | $190.55 |
Quartz Setting Professional Modifier None (both parts) Typical Low $50.12 Median $91.20 Typical High $93.33 | Professional | None (both parts) | $50.12 | $91.20 | $93.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $37.15 | $44.67 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $52.48 | $53.70 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
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 $91.20 Median $134.90 Typical High $416.87 | Professional | None (both parts) | $91.20 | $134.90 | $416.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $186.21 Typical High $229.09 | Professional | 26 · Professional part | $79.43 | $186.21 | $229.09 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $138.04 Typical High $194.98 | Professional | 26 · Professional part | $56.23 | $138.04 | $194.98 |
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 $29.51 Median $60.26 Typical High $109.65 | Professional | None (both parts) | $29.51 | $60.26 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $34.67 | $36.31 | $64.57 |
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 $17.38 Median $19.95 Typical High $26.30 | Professional | 80 · Assistant surgeon | $17.38 | $19.95 | $26.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $19.95 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $17.38 | $19.95 | $26.30 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $19.95 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $19.95 | $26.30 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $17.38 Typical High $22.91 | Professional | AS · PA/NP assist | $15.49 | $17.38 | $22.91 |
Where Wisconsin sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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
$87.10
MN $129KY $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.