How much rates vary
Facilitymedian $107 · 10th to 90th $68 to $209Professionalmedian $107 · 10th to 90th $68 to $437
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $501.19 | Professional | None (both parts) | $67.61 | $67.61 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $323.59 | Professional | 26 · Professional part | $22.39 | $22.39 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | TC · Technical part | $45.71 | $45.71 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $93.33 Typical High $467.74 | Professional | None (both parts) | $64.57 | $93.33 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $154.88 | Professional | 26 · Professional part | $21.88 | $33.88 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $316.23 | Professional | TC · Technical part | $51.29 | $75.86 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $199.53 Typical High $302.00 | Facility | None | $177.83 | $199.53 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $100.00 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $34.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $70.79 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $138.04 | Facility | None | $60.26 | $72.44 | $138.04 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $117.49 | $128.82 | $165.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $42.66 | $53.70 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $77.62 | $87.10 | $114.82 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $151.36 | Facility | None | $60.26 | $77.62 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $85.11 | $199.53 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $26.92 | $63.10 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $134.90 Typical High $295.12 | Professional | TC · Technical part | $57.54 | $134.90 | $295.12 |
Network Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $57.54 | $57.54 | $112.20 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $19.05 | $39.81 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $38.90 | $81.28 |
Prevea360 Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $138.04 | Facility | None | $60.26 | $72.44 | $138.04 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $218.78 | Professional | None | $74.13 | $141.25 | $218.78 |
Quartz Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $100.00 | $107.15 | $144.54 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $33.11 | $34.67 | $41.69 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $70.79 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
Security Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $177.83 | $331.13 | $446.68 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $95.50 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $95.50 | $109.65 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $288.40 | Professional | None (both parts) | $75.86 | $125.89 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $39.81 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $52.48 | $87.10 | $194.98 |
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 $33.88 Median $33.88 Typical High $251.19 | Professional | 52 · Reduced service | $33.88 | $33.88 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $100.00 | Professional | 53 · Discontinued | $13.49 | $13.49 | $100.00 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $20.89 Typical High $26.92 | Professional | 80 · Assistant surgeon | $18.62 | $20.89 | $26.92 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $20.89 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $18.62 | $20.89 | $26.92 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $20.89 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $20.89 | $26.92 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $18.20 Typical High $23.44 | Professional | AS · PA/NP assist | $16.22 | $18.20 | $23.44 |
Where Wisconsin sits
The same service costs 4.9 times more in Nebraska 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· 9th of 51
$107
NE $155UT $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.