How much rates vary
Facilitymedian $1,413 · 10th to 90th $372 to $20,417Professionalmedian $372 · 10th to 90th $186 to $1,380
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $3,162.28 | Professional | None (both parts) | $371.54 | $371.54 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $3,162.28 | Professional | 26 · Professional part | $275.42 | $275.42 | $3,162.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $1,737.80 | Professional | None (both parts) | $186.21 | $316.23 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $275.42 Typical High $1,148.15 | Professional | 26 · Professional part | $138.04 | $275.42 | $1,148.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $97.72 Typical High $446.68 | Professional | TC · Technical part | $47.86 | $97.72 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $870.96 | Facility | None | $512.86 | $575.44 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $288.40 | $338.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $234.42 Typical High $478.63 | Professional | 26 · Professional part | $213.80 | $234.42 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $74.13 | $85.11 | $169.82 |
DeanCare Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $398.11 | Facility | None | $177.83 | $229.09 | $398.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $346.74 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $346.74 | $398.11 | $575.44 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $295.12 Typical High $426.58 | Professional | 26 · Professional part | $257.04 | $295.12 | $426.58 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $104.71 | $147.91 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $1,778.28 Typical High $20,892.96 | Facility | None | $389.05 | $1,778.28 | $20,892.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $724.44 Typical High $1,258.93 | Professional | None (both parts) | $223.87 | $724.44 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $549.54 Typical High $891.25 | Professional | 26 · Professional part | $162.18 | $549.54 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $199.53 Typical High $512.86 | Professional | TC · Technical part | $57.54 | $199.53 | $512.86 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $489.78 | Professional | None (both parts) | $169.82 | $169.82 | $489.78 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $363.08 | Professional | 26 · Professional part | $125.89 | $125.89 | $363.08 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $125.89 | Professional | TC · Technical part | $43.65 | $43.65 | $125.89 |
Prevea360 Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $398.11 | Facility | None | $177.83 | $229.09 | $398.11 |
Quartz Setting Professional Modifier None Typical Low $208.93 Median $446.68 Typical High $776.25 | Professional | None | $208.93 | $446.68 | $776.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $288.40 | $288.40 | $588.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $338.84 | Professional | 26 · Professional part | $213.80 | $213.80 | $338.84 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $74.13 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,318.26 Typical High $1,778.28 | Professional | None (both parts) | $891.25 | $1,318.26 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $23,442.29 | Facility | None | $1,023.29 | $1,862.09 | $23,442.29 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $467.74 Typical High $1,380.38 | Professional | None (both parts) | $213.80 | $467.74 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $331.13 Typical High $1,000.00 | Professional | 26 · Professional part | $158.49 | $331.13 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $144.54 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $144.54 | $354.81 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $1,584.89 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $645.65 | Professional | 53 · Discontinued | $74.13 | $74.13 | $645.65 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $173.78 Median $199.53 Typical High $288.40 | Professional | 51 · Multiple procedures | $173.78 | $199.53 | $288.40 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | 80 · Assistant surgeon | $54.95 | $64.57 | $91.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $54.95 | $64.57 | $91.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $64.57 | $91.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $56.23 Typical High $79.43 | Professional | AS · PA/NP assist | $48.98 | $56.23 | $79.43 |
Where Wisconsin sits
The same service costs 3.5 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
$398
AK $468UT $132
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.