How much rates vary
Facilitymedian $1,288 · 10th to 90th $269 to $2,818Professionalmedian $479 · 10th to 90th $229 to $1,738
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $218.78 Median $371.54 Typical High $426.58 | Facility | None | $218.78 | $371.54 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $3,467.37 | Professional | None (both parts) | $229.09 | $371.54 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $1,230.27 | Professional | 26 · Professional part | $79.43 | $131.83 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $239.88 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $645.65 Typical High $1,737.80 | Professional | None (both parts) | $204.17 | $645.65 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $218.78 Typical High $549.54 | Professional | 26 · Professional part | $72.44 | $218.78 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $416.87 Typical High $1,122.02 | Professional | TC · Technical part | $128.82 | $416.87 | $1,122.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $87.10 | $177.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $891.25 | Facility | None | $524.81 | $602.56 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $295.12 | $338.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $87.10 | $112.20 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $229.09 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,737.80 Typical High $2,511.89 | Facility | None | $229.09 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $346.74 | $363.08 | $630.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $120.23 | $128.82 | $218.78 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $223.87 | $234.42 | $407.38 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,584.89 Typical High $3,019.95 | Facility | None | $407.38 | $1,584.89 | $3,019.95 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,445.44 Median $1,737.80 Typical High $3,162.28 | Facility | TC · Technical part | $1,445.44 | $1,737.80 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $741.31 Typical High $3,981.07 | Professional | None (both parts) | $245.47 | $741.31 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $269.15 Typical High $436.52 | Professional | 26 · Professional part | $81.28 | $269.15 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $478.63 Typical High $1,000.00 | Professional | TC · Technical part | $165.96 | $478.63 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $380.19 | Facility | None | $302.00 | $302.00 | $380.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $269.15 | $489.78 | $630.96 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $218.78 | Professional | 26 · Professional part | $95.50 | $151.36 | $218.78 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $338.84 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $407.38 | Facility | None | $181.97 | $229.09 | $407.38 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $870.96 | Professional | None | $218.78 | $446.68 | $870.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $295.12 | $295.12 | $602.56 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $102.33 | $199.53 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $190.55 | $389.05 |
Security Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Security Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,174.90 Typical High $1,819.70 | Professional | None (both parts) | $724.44 | $1,174.90 | $1,819.70 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $275.42 Typical High $338.84 | Professional | 26 · Professional part | $245.47 | $275.42 | $338.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $660.69 Typical High $676.08 | Professional | TC · Technical part | $467.74 | $660.69 | $676.08 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $346.74 Median $575.44 Typical High $1,445.44 | Professional | None (both parts) | $346.74 | $575.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $1,122.02 | Professional | None (both parts) | $213.80 | $389.05 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $134.90 Typical High $380.19 | Professional | 26 · Professional part | $74.13 | $134.90 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $758.58 | Professional | TC · Technical part | $134.90 | $263.03 | $758.58 |
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 $54.95 Median $58.88 Typical High $100.00 | Professional | 80 · Assistant surgeon | $54.95 | $58.88 | $100.00 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $58.88 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $54.95 | $58.88 | $100.00 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $58.88 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $58.88 | $100.00 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $51.29 Typical High $87.10 | Professional | AS · PA/NP assist | $48.98 | $51.29 | $87.10 |
Where Wisconsin sits
The same service costs 6.3 times more in Minnesota 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· 3rd of 51
$490
MN $759UT $120
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.