How much rates vary
Facilitymedian $115 · 10th to 90th $66 to $479Professionalmedian $102 · 10th to 90th $59 to $275
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 $66.07 Median $66.07 Typical High $77.62 | Facility | None | $66.07 | $66.07 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $524.81 | Professional | None (both parts) | $64.57 | $66.07 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $416.87 | Professional | 26 · Professional part | $28.84 | $28.84 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $37.15 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $208.93 | Professional | None (both parts) | $50.12 | $79.43 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $26.92 | $42.66 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $48.98 Typical High $117.49 | Professional | TC · Technical part | $32.36 | $48.98 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $288.40 | Facility | None | $169.82 | $194.98 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $97.72 | $102.33 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $44.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $58.88 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $131.83 | Facility | None | $58.88 | $75.86 | $131.83 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $112.20 | $125.89 | $141.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $53.70 | $66.07 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $72.44 | $79.43 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $912.01 | Facility | None | $70.79 | $131.83 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $190.55 Typical High $724.44 | Professional | None (both parts) | $69.18 | $190.55 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $93.33 Typical High $331.13 | Professional | 26 · Professional part | $33.11 | $93.33 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $97.72 Typical High $562.34 | Professional | TC · Technical part | $33.88 | $97.72 | $562.34 |
Network Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Facility | None | $93.33 | $93.33 | $123.03 |
Network Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $56.23 | $138.04 | $151.36 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $66.07 | $66.07 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $72.44 Typical High $74.13 | Professional | TC · Technical part | $31.62 | $72.44 | $74.13 |
Prevea360 Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $131.83 | Facility | None | $58.88 | $75.86 | $131.83 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $147.91 Typical High $275.42 | Professional | None | $77.62 | $147.91 | $275.42 |
Quartz Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $102.33 | $102.33 | $141.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $40.74 | $44.67 | $56.23 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $58.88 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $40.74 | $40.74 | $40.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $91.20 | $186.21 | $295.12 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $44.67 | $87.10 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $97.72 | Professional | TC · Technical part | $39.81 | $46.77 | $97.72 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $128.82 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $128.82 | $190.55 | $257.04 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $69.18 | $91.20 |
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 $63.10 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $63.10 | $100.00 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $28.84 | $48.98 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $120.23 | Professional | TC · Technical part | $32.36 | $52.48 | $120.23 |
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 $33.11 Median $33.11 Typical High $269.15 | Professional | 52 · Reduced service | $33.11 | $33.11 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $107.15 | Professional | 53 · Discontinued | $13.18 | $13.18 | $107.15 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $19.95 Typical High $22.39 | Professional | 80 · Assistant surgeon | $18.20 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $19.95 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $18.20 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $19.95 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $17.78 Typical High $19.50 | Professional | AS · PA/NP assist | $15.85 | $17.78 | $19.50 |
Where Wisconsin sits
The same service costs 3.6 times more in Minnesota than in Texas. 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· 10th of 51
$102
MN $141TX $38.90
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.