How much rates vary
Facilitymedian $275 · 10th to 90th $138 to $724Professionalmedian $316 · 10th to 90th $141 to $1,072
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $1,000.00 | Professional | None (both parts) | $138.04 | $138.04 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $316.23 | Professional | 26 · Professional part | $22.91 | $22.91 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $112.20 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $389.05 Typical High $1,258.93 | Professional | None (both parts) | $144.54 | $389.05 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $60.26 Typical High $199.53 | Professional | 26 · Professional part | $23.44 | $60.26 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $323.59 Typical High $1,071.52 | Professional | TC · Technical part | $123.03 | $323.59 | $1,071.52 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $28.84 | $165.96 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $436.52 Typical High $660.69 | Facility | None | $389.05 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $158.49 | $204.17 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $77.62 | Professional | 26 · Professional part | $24.55 | $30.90 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $131.83 | $173.78 | $389.05 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $275.42 | Facility | None | $123.03 | $154.88 | $275.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $251.19 | $263.03 | $371.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $41.69 | $58.88 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $223.87 | $316.23 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $1,230.27 | Facility | None | $147.91 | $275.42 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $457.09 Typical High $1,230.27 | Professional | None (both parts) | $190.55 | $457.09 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $77.62 Typical High $239.88 | Professional | 26 · Professional part | $27.54 | $77.62 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $1,122.02 | Professional | TC · Technical part | $158.49 | $407.38 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
Network Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $194.98 | $389.05 | $467.74 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $43.65 | $57.54 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $331.13 | $426.58 |
Prevea360 Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $275.42 | Facility | None | $123.03 | $154.88 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $630.96 | Professional | None | $154.88 | $323.59 | $630.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $158.49 | $158.49 | $346.74 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $69.18 | Professional | 26 · Professional part | $24.55 | $24.55 | $69.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $131.83 | $295.12 |
Security Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $794.33 | Professional | None (both parts) | $295.12 | $575.44 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $60.26 | $74.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $309.03 | $371.54 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $245.47 | $389.05 | $602.56 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $63.10 | $95.50 |
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 $151.36 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $151.36 | $288.40 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $41.69 Typical High $100.00 | Professional | 26 · Professional part | $23.44 | $41.69 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $128.82 | $251.19 | $512.86 |
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 $27.54 Median $27.54 Typical High $199.53 | Professional | 53 · Discontinued | $27.54 | $27.54 | $199.53 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $42.66 Typical High $58.88 | Professional | 80 · Assistant surgeon | $39.81 | $42.66 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $42.66 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $39.81 | $42.66 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $42.66 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $42.66 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $37.15 Typical High $52.48 | Professional | AS · PA/NP assist | $35.48 | $37.15 | $52.48 |
Where Wisconsin sits
The same service costs 3.7 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
$316
AK $355UT $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.