How much rates vary
Facilitymedian $257 · 10th to 90th $135 to $525Professionalmedian $275 · 10th to 90th $135 to $1,096
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 $977.24 | Professional | None (both parts) | $134.90 | $134.90 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $363.08 | Professional | 26 · Professional part | $22.91 | $22.91 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $112.20 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $398.11 Typical High $1,288.25 | Professional | None (both parts) | $151.36 | $398.11 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $54.95 Typical High $194.98 | Professional | 26 · Professional part | $22.91 | $54.95 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $338.84 Typical High $1,096.48 | Professional | TC · Technical part | $128.82 | $338.84 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $660.69 | Facility | None | $389.05 | $446.68 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $158.49 | $158.49 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $24.55 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $134.90 | $363.08 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $275.42 | Facility | None | $120.23 | $154.88 | $275.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $257.04 | $302.00 | $371.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $45.71 | $57.54 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $257.04 | $316.23 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $602.56 | Facility | None | $144.54 | $257.04 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $436.52 Typical High $1,202.26 | Professional | None (both parts) | $194.98 | $436.52 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $69.18 Typical High $199.53 | Professional | 26 · Professional part | $17.38 | $69.18 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $398.11 Typical High $1,122.02 | Professional | TC · Technical part | $173.78 | $398.11 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $416.87 | Facility | None | $223.87 | $223.87 | $416.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $213.80 | $489.78 | $489.78 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $28.18 | $56.23 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $457.09 | $457.09 |
Prevea360 Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $275.42 | Facility | None | $120.23 | $154.88 | $275.42 |
Quartz Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $478.63 | Professional | None | $158.49 | $323.59 | $478.63 |
Quartz Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $158.49 | $158.49 | $263.03 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $33.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $134.90 | $223.87 |
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 $288.40 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $288.40 | $630.96 | $794.33 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $52.48 | $66.07 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $331.13 | $602.56 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $263.03 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $263.03 | $398.11 | $676.08 |
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 $162.18 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $162.18 | $269.15 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $17.38 | $37.15 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $223.87 | $489.78 |
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 $512.86 | Professional | 52 · Reduced service | $67.61 | $67.61 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $204.17 | Professional | 53 · Discontinued | $27.54 | $27.54 | $204.17 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 80 · Assistant surgeon | $40.74 | $47.86 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $40.74 | $47.86 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $47.86 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $41.69 Typical High $51.29 | Professional | AS · PA/NP assist | $35.48 | $41.69 | $51.29 |
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· 5th of 51
$275
AK $363UT $97.72
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.