How much rates vary
Facilitymedian $2,818 · 10th to 90th $174 to $19,055Professionalmedian $759 · 10th to 90th $245 to $1,778
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $1,348.96 | Professional | None (both parts) | $173.78 | $173.78 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $436.52 | Professional | 26 · Professional part | $60.26 | $60.26 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $114.82 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $954.99 Typical High $2,884.03 | Professional | None (both parts) | $380.19 | $954.99 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $158.49 Typical High $512.86 | Professional | 26 · Professional part | $60.26 | $158.49 | $512.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $794.33 Typical High $2,398.83 | Professional | TC · Technical part | $323.59 | $794.33 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,548.82 | Facility | None | $912.01 | $1,047.13 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $1,174.90 | Professional | None (both parts) | $371.54 | $457.09 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $81.28 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $389.05 Typical High $1,023.29 | Professional | TC · Technical part | $309.03 | $389.05 | $1,023.29 |
DeanCare Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $354.81 | Facility | None | $154.88 | $199.53 | $354.81 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $588.84 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $588.84 | $630.96 | $912.01 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $109.65 | $154.88 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $512.86 Typical High $741.31 | Professional | TC · Technical part | $489.78 | $512.86 | $741.31 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $4,073.80 Typical High $19,054.61 | Facility | None | $269.15 | $4,073.80 | $19,054.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,047.13 Typical High $1,737.80 | Professional | None (both parts) | $371.54 | $1,047.13 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $190.55 Typical High $371.54 | Professional | 26 · Professional part | $72.44 | $190.55 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $309.03 | $891.25 | $1,412.54 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $724.44 | Facility | None | $562.34 | $562.34 | $724.44 |
Network Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $741.31 Typical High $1,000.00 | Professional | None (both parts) | $467.74 | $741.31 | $1,000.00 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $128.82 | $151.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $616.60 Typical High $851.14 | Professional | TC · Technical part | $380.19 | $616.60 | $851.14 |
Prevea360 Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $354.81 | Facility | None | $154.88 | $199.53 | $354.81 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $831.76 Typical High $1,659.59 | Professional | None | $407.38 | $831.76 | $1,659.59 |
Quartz Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $954.99 | Professional | None (both parts) | $371.54 | $371.54 | $954.99 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $64.57 | $144.54 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $812.83 | Professional | TC · Technical part | $309.03 | $309.03 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Security Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $851.14 Typical High $1,096.48 | Professional | None (both parts) | $724.44 | $851.14 | $1,096.48 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $125.89 | $147.91 | $177.83 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $707.95 Typical High $912.01 | Professional | TC · Technical part | $602.56 | $707.95 | $912.01 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $6,918.31 Typical High $19,498.45 | Facility | None | $2,454.71 | $6,918.31 | $19,498.45 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $363.08 | $616.60 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $251.19 | Professional | 26 · Professional part | $61.66 | $107.15 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $1,202.26 | Professional | TC · Technical part | $302.00 | $512.86 | $1,202.26 |
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 $95.50 Median $100.00 Typical High $144.54 | Professional | 80 · Assistant surgeon | $95.50 | $100.00 | $144.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $100.00 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $95.50 | $100.00 | $144.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $100.00 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $100.00 | $144.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $87.10 Typical High $125.89 | Professional | AS · PA/NP assist | $83.18 | $87.10 | $125.89 |
Where Wisconsin sits
The same service costs 9.1 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
$794
AK $871UT $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.