How much rates vary
Facilitymedian $363 · 10th to 90th $123 to $1,047Professionalmedian $257 · 10th to 90th $123 to $1,000
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 $123.03 Median $123.03 Typical High $141.25 | Facility | None | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $1,023.29 | Professional | None (both parts) | $123.03 | $123.03 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $288.40 | Professional | 26 · Professional part | $21.38 | $21.38 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $100.00 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $309.03 Typical High $1,000.00 | Professional | None (both parts) | $120.23 | $309.03 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $54.95 Typical High $158.49 | Professional | 26 · Professional part | $21.88 | $54.95 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $263.03 Typical High $812.83 | Professional | TC · Technical part | $100.00 | $263.03 | $812.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $26.30 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $549.54 | Facility | None | $323.59 | $363.08 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $371.54 | Professional | None (both parts) | $131.83 | $169.82 | $371.54 |
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 $107.15 Median $141.25 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $141.25 | $309.03 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Facility | None | $109.65 | $141.25 | $251.19 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $208.93 | $218.78 | $309.03 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $40.74 | $52.48 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $741.31 Typical High $1,148.15 | Facility | None | $234.42 | $741.31 | $1,148.15 |
Medica Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $691.83 Typical High $1,122.02 | Facility | TC · Technical part | $380.19 | $691.83 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $1,047.13 | Professional | None (both parts) | $151.36 | $398.11 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $81.28 Typical High $239.88 | Professional | 26 · Professional part | $28.18 | $81.28 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $323.59 Typical High $933.25 | Professional | TC · Technical part | $125.89 | $323.59 | $933.25 |
Network Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $234.42 | Facility | None | $181.97 | $181.97 | $234.42 |
Network Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $162.18 | $302.00 | $346.74 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $50.12 | $57.54 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $251.19 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $251.19 | Facility | None | $109.65 | $141.25 | $251.19 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $524.81 | Professional | None | $128.82 | $269.15 | $524.81 |
Quartz Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $131.83 | $131.83 | $288.40 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $22.91 | $51.29 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $107.15 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Security Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $257.04 | $478.63 | $758.58 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $54.95 | $66.07 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $208.93 | $239.88 | $288.40 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $204.17 | $323.59 | $512.86 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $56.23 | $95.50 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $275.42 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $275.42 | $416.87 |
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 $123.03 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $123.03 | $239.88 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.90 Typical High $91.20 | Professional | 26 · Professional part | $22.91 | $38.90 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $194.98 | $407.38 |
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 $61.66 Median $61.66 Typical High $512.86 | Professional | 52 · Reduced service | $61.66 | $61.66 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $204.17 | Professional | 53 · Discontinued | $24.55 | $24.55 | $204.17 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | 80 · Assistant surgeon | $33.88 | $35.48 | $50.12 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $33.88 | $35.48 | $50.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $35.48 | $50.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $30.90 Typical High $43.65 | Professional | AS · PA/NP assist | $29.51 | $30.90 | $43.65 |
Where Wisconsin sits
The same service costs 4.0 times more in Minnesota 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
$263
MN $380UT $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.