How much rates vary
Facilitymedian $117 · 10th to 90th $71 to $219Professionalmedian $158 · 10th to 90th $71 to $363
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $501.19 | Professional | None (both parts) | $70.79 | $70.79 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $263.03 | Professional | 26 · Professional part | $19.95 | $19.95 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | TC · Technical part | $51.29 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $74.13 | $208.93 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $19.95 | $56.23 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $53.70 | $154.88 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $213.80 Typical High $316.23 | Facility | None | $186.21 | $213.80 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $208.93 | Professional | None (both parts) | $74.13 | $89.13 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $25.12 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $63.10 | $151.36 |
DeanCare Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $144.54 | Facility | None | $63.10 | $77.62 | $144.54 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $123.03 | $151.36 | $181.97 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $41.69 | $51.29 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $107.15 | $131.83 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $144.54 | Facility | None | $63.10 | $81.28 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $141.25 Typical High $489.78 | Professional | None (both parts) | $57.54 | $141.25 | $489.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $39.81 Typical High $123.03 | Professional | 26 · Professional part | $21.88 | $39.81 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $102.33 Typical High $371.54 | Professional | TC · Technical part | $28.84 | $102.33 | $371.54 |
Network Health Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Facility | None | $117.49 | $117.49 | $158.49 |
Network Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $85.11 | $151.36 | $186.21 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $45.71 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $45.71 | $50.12 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $104.71 | $131.83 |
Prevea360 Setting Facility Modifier None Typical Low $63.10 Median $77.62 Typical High $144.54 | Facility | None | $63.10 | $77.62 | $144.54 |
Quartz Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $269.15 | Professional | None | $85.11 | $173.78 | $269.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $158.49 | Professional | None (both parts) | $74.13 | $74.13 | $158.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $20.89 | $46.77 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $52.48 | $112.20 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $181.97 | $363.08 | $501.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $50.12 | $61.66 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $128.82 | $134.90 | $177.83 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $128.82 Typical High $302.00 | Professional | None (both parts) | $63.10 | $128.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $36.31 Typical High $85.11 | Professional | 26 · Professional part | $20.42 | $36.31 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $95.50 Typical High $223.87 | Professional | TC · Technical part | $33.11 | $95.50 | $223.87 |
4 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $23.99 Typical High $29.51 | Professional | 80 · Assistant surgeon | $19.50 | $23.99 | $29.51 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $23.99 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $19.50 | $23.99 | $29.51 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $23.99 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $23.99 | $29.51 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $20.89 Typical High $25.70 | Professional | AS · PA/NP assist | $16.98 | $20.89 | $25.70 |
Where Wisconsin sits
The same service costs 3.6 times more in Alaska than in Indiana. 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· 2nd of 51
$158
AK $186IN $51.29
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.