How much rates vary
Facilitymedian $170 · 10th to 90th $85 to $355Professionalmedian $186 · 10th to 90th $85 to $646
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $616.60 | Professional | None (both parts) | $85.11 | $85.11 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $245.47 | Professional | 26 · Professional part | $11.75 | $11.75 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $72.44 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $218.78 Typical High $724.44 | Professional | None (both parts) | $83.18 | $218.78 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $31.62 Typical High $102.33 | Professional | 26 · Professional part | $12.02 | $31.62 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $186.21 Typical High $630.96 | Professional | TC · Technical part | $70.79 | $186.21 | $630.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.14 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $15.14 | $97.72 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $380.19 | Facility | None | $223.87 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $91.20 | $117.49 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $38.90 | Professional | 26 · Professional part | $12.59 | $16.60 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $77.62 | $100.00 | $263.03 |
DeanCare Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $169.82 | Facility | None | $75.86 | $95.50 | $169.82 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $144.54 | $151.36 | $208.93 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $20.89 | $30.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $131.83 | $181.97 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $281.84 Typical High $691.83 | Facility | None | $91.20 | $281.84 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $275.42 Typical High $776.25 | Professional | None (both parts) | $109.65 | $275.42 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $39.81 Typical High $269.15 | Professional | 26 · Professional part | $15.49 | $39.81 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $234.42 Typical High $691.83 | Professional | TC · Technical part | $95.50 | $234.42 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Facility | None | $125.89 | $125.89 | $186.21 |
Network Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $112.20 | $213.80 | $234.42 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $15.85 | $27.54 | $32.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $97.72 | $186.21 | $208.93 |
Prevea360 Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $169.82 | Facility | None | $75.86 | $95.50 | $169.82 |
Quartz Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $354.81 | Professional | None | $91.20 | $194.98 | $354.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $91.20 | $91.20 | $199.53 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $12.59 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $77.62 | $169.82 |
Security Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $194.98 | $323.59 | $524.81 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $112.20 | Professional | 26 · Professional part | $30.90 | $37.15 | $112.20 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $186.21 | $251.19 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $144.54 | $229.09 | $338.84 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $32.36 | $53.70 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $87.10 | $162.18 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $12.88 | $21.88 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $295.12 | Professional | TC · Technical part | $74.13 | $141.25 | $295.12 |
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 $41.69 Median $41.69 Typical High $323.59 | Professional | 52 · Reduced service | $41.69 | $41.69 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $128.82 | Professional | 53 · Discontinued | $16.98 | $16.98 | $128.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $24.55 Typical High $33.88 | Professional | 80 · Assistant surgeon | $22.91 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $24.55 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $22.91 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $24.55 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $24.55 | $33.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $21.38 Typical High $29.51 | Professional | AS · PA/NP assist | $20.42 | $21.38 | $29.51 |
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· 3rd of 51
$186
AK $209UT $63.10
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.