How much rates vary
Facilitymedian $275 · 10th to 90th $135 to $603Professionalmedian $288 · 10th to 90th $135 to $1,023
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $1,023.29 | Professional | None (both parts) | $134.90 | $134.90 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $245.47 | Professional | 26 · Professional part | $21.38 | $21.38 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $112.20 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $128.82 | $346.74 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $56.23 Typical High $186.21 | Professional | 26 · Professional part | $21.38 | $56.23 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $288.40 Typical High $954.99 | Professional | TC · Technical part | $107.15 | $288.40 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $26.92 | $151.36 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $602.56 | Facility | None | $354.81 | $398.11 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $467.74 | Professional | None (both parts) | $144.54 | $186.21 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $29.51 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $398.11 | Professional | TC · Technical part | $120.23 | $154.88 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $275.42 | Facility | None | $120.23 | $151.36 | $275.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $229.09 | $239.88 | $331.13 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $38.02 | $54.95 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $204.17 | $275.42 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $977.24 | Facility | None | $144.54 | $275.42 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $169.82 | $426.58 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $70.79 Typical High $309.03 | Professional | 26 · Professional part | $27.54 | $70.79 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $354.81 Typical High $1,047.13 | Professional | TC · Technical part | $144.54 | $354.81 | $1,047.13 |
Network Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $295.12 | Facility | None | $194.98 | $194.98 | $295.12 |
Network Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $177.83 | $331.13 | $363.08 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $50.12 | $53.70 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $281.84 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $151.36 Typical High $275.42 | Facility | None | $120.23 | $151.36 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $562.34 | Professional | None | $147.91 | $316.23 | $562.34 |
Quartz Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $144.54 | $144.54 | $309.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $22.91 | $64.57 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $120.23 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Security Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $275.42 | $501.19 | $812.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $66.07 | $165.96 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $281.84 | $380.19 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $269.15 | $323.59 | $616.60 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $58.88 | $89.13 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $537.03 | Professional | None (both parts) | $134.90 | $257.04 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $22.91 | $38.90 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $218.78 Typical High $446.68 | Professional | TC · Technical part | $112.20 | $218.78 | $446.68 |
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 $67.61 Median $67.61 Typical High $501.19 | Professional | 52 · Reduced service | $67.61 | $67.61 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $204.17 | Professional | 53 · Discontinued | $26.92 | $26.92 | $204.17 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $38.90 Typical High $52.48 | Professional | 80 · Assistant surgeon | $37.15 | $38.90 | $52.48 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $38.90 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $37.15 | $38.90 | $52.48 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $38.90 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $38.90 | $52.48 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $33.88 Typical High $45.71 | Professional | AS · PA/NP assist | $32.36 | $33.88 | $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· 3rd of 51
$288
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.