How much rates vary
Facilitymedian $76 · 10th to 90th $41 to $288Professionalmedian $63 · 10th to 90th $37 to $170
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 $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $204.17 | Professional | None (both parts) | $40.74 | $40.74 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $162.18 | Professional | 26 · Professional part | $14.79 | $14.79 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $28.84 | Professional | TC · Technical part | $25.12 | $25.70 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $37.15 | $56.23 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $51.29 | Professional | 26 · Professional part | $13.80 | $21.38 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $22.91 | $44.67 | $83.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.18 Median $22.39 Typical High $52.48 | Professional | None (both parts) | $13.18 | $22.39 | $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 $57.54 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $57.54 | $63.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $21.38 | $22.91 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | TC · Technical part | $36.31 | $39.81 | $72.44 |
DeanCare Setting Facility Modifier None Typical Low $36.31 Median $46.77 Typical High $81.28 | Facility | None | $36.31 | $46.77 | $81.28 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $69.18 | $77.62 | $91.20 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $27.54 | $33.88 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $44.67 | $52.48 | $57.54 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $75.86 Typical High $794.33 | Facility | None | $36.31 | $75.86 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $117.49 Typical High $346.74 | Professional | None (both parts) | $41.69 | $117.49 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $16.98 | $47.86 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $77.62 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Facility | None | $57.54 | $57.54 | $81.28 |
Network Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $34.67 | $89.13 | $100.00 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $12.59 | $33.88 | $36.31 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $54.95 Typical High $58.88 | Professional | TC · Technical part | $21.88 | $54.95 | $58.88 |
Prevea360 Setting Facility Modifier None Typical Low $36.31 Median $46.77 Typical High $81.28 | Facility | None | $36.31 | $46.77 | $81.28 |
Quartz Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $134.90 | Professional | None | $46.77 | $89.13 | $134.90 |
Quartz Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $52.48 | $63.10 | $75.86 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $22.91 | $28.84 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $32.36 | $39.81 | $47.86 |
Security Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $60.26 | $123.03 | $138.04 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $41.69 | $45.71 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $37.15 | $77.62 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $87.10 | $131.83 | $181.97 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $39.81 | $60.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $64.57 Typical High $147.91 | Professional | None (both parts) | $39.81 | $64.57 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $25.12 Typical High $57.54 | Professional | 26 · Professional part | $14.79 | $25.12 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $89.13 | Professional | TC · Technical part | $24.55 | $39.81 | $89.13 |
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 $102.33 | Professional | 52 · Reduced service | $20.42 | $20.42 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $40.74 | Professional | 53 · Discontinued | $8.13 | $8.13 | $40.74 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $12.59 Typical High $14.79 | Professional | 80 · Assistant surgeon | $11.22 | $12.59 | $14.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $12.59 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $11.22 | $12.59 | $14.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $12.59 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $12.59 | $14.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $10.96 Typical High $12.88 | Professional | AS · PA/NP assist | $9.77 | $10.96 | $12.88 |
Where Wisconsin sits
The same service costs 2.7 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· 8th of 51
$63.10
MN $83.18UT $30.90
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.