How much rates vary
Facilitymedian $78 · 10th to 90th $46 to $204Professionalmedian $72 · 10th to 90th $38 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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $245.47 | Professional | None (both parts) | $45.71 | $45.71 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $134.90 | Professional | 26 · Professional part | $12.59 | $12.59 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $35.48 | Professional | TC · Technical part | $28.84 | $33.11 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $60.26 Typical High $144.54 | Professional | None (both parts) | $38.02 | $60.26 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $43.65 | Professional | 26 · Professional part | $11.75 | $17.38 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $104.71 | Professional | TC · Technical part | $26.30 | $43.65 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $204.17 | Facility | None | $120.23 | $134.90 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $67.61 | $72.44 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $46.77 | $52.48 | $95.50 |
DeanCare Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | None | $40.74 | $52.48 | $93.33 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $79.43 | $89.13 | $97.72 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $24.55 | $29.51 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $64.57 | $70.79 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $53.70 Typical High $398.11 | Facility | None | $40.74 | $53.70 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $46.77 | $107.15 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $14.45 | $33.88 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $72.44 Typical High $173.78 | Professional | TC · Technical part | $33.11 | $72.44 | $173.78 |
Network Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Network Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $95.50 Typical High $100.00 | Professional | None (both parts) | $38.90 | $95.50 | $100.00 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $28.18 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $28.18 | $30.20 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $67.61 | $67.61 |
Prevea360 Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $93.33 | Facility | None | $40.74 | $52.48 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $151.36 | Professional | None | $53.70 | $100.00 | $151.36 |
Quartz Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $57.54 | $72.44 | $87.10 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $25.12 | Professional | 26 · Professional part | $17.78 | $19.95 | $25.12 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $63.10 | Professional | TC · Technical part | $37.15 | $52.48 | $63.10 |
Security Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $154.88 | Professional | None (both parts) | $51.29 | $66.07 | $154.88 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $19.50 | $39.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $40.74 | $100.00 |
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 $43.65 Median $69.18 Typical High $154.88 | Professional | None (both parts) | $43.65 | $69.18 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.38 Typical High $48.98 | Professional | 26 · Professional part | $12.88 | $21.38 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $47.86 Typical High $104.71 | Professional | TC · Technical part | $29.51 | $47.86 | $104.71 |
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 $22.91 Median $22.91 Typical High $125.89 | Professional | 52 · Reduced service | $22.91 | $22.91 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $51.29 | Professional | 53 · Discontinued | $9.12 | $9.12 | $51.29 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $14.13 Typical High $15.49 | Professional | 80 · Assistant surgeon | $12.59 | $14.13 | $15.49 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.59 Median $14.13 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $12.59 | $14.13 | $15.49 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $14.13 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $14.13 | $15.49 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $10.96 Median $12.30 Typical High $13.49 | Professional | AS · PA/NP assist | $10.96 | $12.30 | $13.49 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska 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
$72.44
AK $89.13UT $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.