How much rates vary
Facilitymedian $138 · 10th to 90th $91 to $339Professionalmedian $141 · 10th to 90th $78 to $316
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $331.13 | Professional | None (both parts) | $85.11 | $91.20 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $141.25 | Professional | 26 · Professional part | $19.95 | $20.42 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $77.62 | $117.49 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $69.18 | Professional | 26 · Professional part | $19.05 | $30.20 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $208.93 | Professional | TC · Technical part | $60.26 | $89.13 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $407.38 | Facility | None | $239.88 | $269.15 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $97.72 | $141.25 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $32.36 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $109.65 | $177.83 |
DeanCare Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $186.21 | Facility | None | $81.28 | $104.71 | $186.21 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $154.88 | $165.96 | $190.55 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $38.90 | $46.77 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $117.49 | $125.89 | $147.91 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $398.11 | Facility | None | $81.28 | $109.65 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $70.79 | $204.17 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $63.10 Typical High $323.59 | Professional | 26 · Professional part | $22.39 | $63.10 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $151.36 Typical High $346.74 | Professional | TC · Technical part | $50.12 | $151.36 | $346.74 |
Network Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $141.25 | Facility | None | $91.20 | $91.20 | $141.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $77.62 | $144.54 | $208.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $43.65 | $48.98 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $100.00 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $186.21 | Facility | None | $81.28 | $104.71 | $186.21 |
Quartz Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $346.74 | Professional | None | $120.23 | $204.17 | $346.74 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $93.33 | $141.25 | $162.18 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $38.90 | Professional | 26 · Professional part | $27.54 | $32.36 | $38.90 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $109.65 | $125.89 |
Security Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $104.71 | $213.80 | $281.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $30.90 | $60.26 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $74.13 | $154.88 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $114.82 Typical High $251.19 | Professional | None (both parts) | $64.57 | $114.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $20.42 | $32.36 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $44.67 | $81.28 | $177.83 |
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 $42.66 Median $45.71 Typical High $173.78 | Professional | 52 · Reduced service | $42.66 | $45.71 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $69.18 | Professional | 53 · Discontinued | $16.98 | $18.20 | $69.18 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | 80 · Assistant surgeon | $25.12 | $26.30 | $30.90 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $25.12 | $26.30 | $30.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $26.30 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $26.30 | $30.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $22.91 Typical High $26.92 | Professional | AS · PA/NP assist | $21.88 | $22.91 | $26.92 |
Where Wisconsin sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 7th of 51
$141
ND $186KY $53.70
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.