How much rates vary
Facilitymedian $105 · 10th to 90th $41 to $447Professionalmedian $79 · 10th to 90th $37 to $251
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 $40.74 Median $40.74 Typical High $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $302.00 | Professional | None (both parts) | $40.74 | $40.74 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $165.96 | Professional | 26 · Professional part | $10.47 | $10.47 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $30.20 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $66.07 Typical High $165.96 | Professional | None (both parts) | $37.15 | $66.07 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.60 Typical High $40.74 | Professional | 26 · Professional part | $9.77 | $16.60 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $52.48 Typical High $131.83 | Professional | TC · Technical part | $26.92 | $52.48 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.33 Median $25.70 Typical High $52.48 | Professional | None (both parts) | $9.33 | $25.70 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $177.83 | Facility | None | $104.71 | $120.23 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $63.10 | $63.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $16.22 | $16.60 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $46.77 | $85.11 |
DeanCare Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $112.20 | Facility | None | $36.31 | $45.71 | $112.20 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $69.18 | $77.62 | $141.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $18.20 | $19.95 | $30.20 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $57.54 | $109.65 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $309.03 Typical High $524.81 | Facility | None | $43.65 | $309.03 | $524.81 |
Medica Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $398.11 Typical High $660.69 | Facility | TC · Technical part | $128.82 | $398.11 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $66.07 Median $181.97 Typical High $630.96 | Professional | None (both parts) | $66.07 | $181.97 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $43.65 Typical High $223.87 | Professional | 26 · Professional part | $15.85 | $43.65 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $48.98 | $147.91 | $257.04 |
Network Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $128.82 | Facility | None | $67.61 | $67.61 | $128.82 |
Network Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $34.67 | $117.49 | $147.91 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $8.91 | $26.30 | $28.84 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $25.12 | $93.33 | $109.65 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $112.20 | Facility | None | $36.31 | $45.71 | $112.20 |
Quartz Setting Professional Modifier None Typical Low $47.86 Median $93.33 Typical High $173.78 | Professional | None | $47.86 | $93.33 | $173.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $63.10 | $63.10 | $91.20 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $16.60 | $16.60 | $20.89 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $46.77 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
Security Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $91.20 | $165.96 | $416.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $20.42 | $50.12 | $102.33 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $346.74 | Professional | TC · Technical part | $61.66 | $72.44 | $346.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $70.79 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $70.79 | $120.23 | $223.87 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $25.70 | $51.29 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $93.33 | $165.96 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $54.95 | $95.50 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $50.12 | Professional | 26 · Professional part | $12.88 | $21.88 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $42.66 | $75.86 | $169.82 |
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 $20.42 Median $20.42 Typical High $151.36 | Professional | 52 · Reduced service | $20.42 | $20.42 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $61.66 | Professional | 53 · Discontinued | $8.13 | $8.13 | $61.66 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $12.30 Typical High $22.39 | Professional | 80 · Assistant surgeon | $10.96 | $12.30 | $22.39 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $12.30 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $10.96 | $12.30 | $22.39 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $12.30 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $12.30 | $22.39 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | AS · PA/NP assist | $9.77 | $10.72 | $19.50 |
Where Wisconsin sits
The same service costs 3.3 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· 6th of 51
$79.43
MN $105UT $31.62
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.