How much rates vary
Facilitymedian $240 · 10th to 90th $126 to $389Professionalmedian $275 · 10th to 90th $126 to $933
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $741.31 | Professional | None (both parts) | $125.89 | $125.89 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $281.84 | Professional | 26 · Professional part | $23.44 | $23.44 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $102.33 | $102.33 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $338.84 Typical High $1,071.52 | Professional | None (both parts) | $125.89 | $338.84 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $61.66 Typical High $204.17 | Professional | 26 · Professional part | $23.99 | $61.66 | $204.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $275.42 Typical High $870.96 | Professional | TC · Technical part | $102.33 | $275.42 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $562.34 | Facility | None | $331.13 | $380.19 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $134.90 | $177.83 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $32.36 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $144.54 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $257.04 | Facility | None | $112.20 | $144.54 | $257.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $218.78 | $229.09 | $323.59 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $41.69 | $60.26 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $186.21 | $263.03 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $269.15 | Facility | None | $112.20 | $165.96 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $416.87 Typical High $1,047.13 | Professional | None (both parts) | $165.96 | $416.87 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $77.62 Typical High $302.00 | Professional | 26 · Professional part | $25.70 | $77.62 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $331.13 Typical High $912.01 | Professional | TC · Technical part | $134.90 | $331.13 | $912.01 |
Network Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $346.74 | Facility | None | $190.55 | $190.55 | $346.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $169.82 | $346.74 | $398.11 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $44.67 | $58.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $309.03 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $257.04 | Facility | None | $112.20 | $144.54 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $537.03 | Professional | None | $138.04 | $281.84 | $537.03 |
Quartz Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $134.90 | $134.90 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $25.12 | $56.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $109.65 | $245.47 |
Security Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $537.03 Typical High $794.33 | Professional | None (both parts) | $234.42 | $537.03 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $61.66 | $89.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $251.19 | $478.63 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $489.78 Median $549.54 Typical High $588.84 | Professional | None (both parts) | $489.78 | $549.54 | $588.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $63.10 | $97.72 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $131.83 | $251.19 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $23.99 | $42.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $104.71 | $208.93 | $426.58 |
6 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 $63.10 Median $63.10 Typical High $371.54 | Professional | 52 · Reduced service | $63.10 | $63.10 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $147.91 | Professional | 53 · Discontinued | $25.12 | $25.12 | $147.91 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $36.31 Typical High $51.29 | Professional | 80 · Assistant surgeon | $34.67 | $36.31 | $51.29 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $36.31 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $34.67 | $36.31 | $51.29 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $36.31 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $36.31 | $51.29 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $31.62 Typical High $45.71 | Professional | AS · PA/NP assist | $30.20 | $31.62 | $45.71 |
Where Wisconsin sits
The same service costs 3.3 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· 2nd of 51
$275
AK $316UT $95.50
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.