How much rates vary
Facilitymedian $162 · 10th to 90th $47 to $8,318Professionalmedian $52 · 10th to 90th $32 to $174
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $51.29 Median $4,265.80 Typical High $12,022.64 | Facility | None | $51.29 | $4,265.80 | $12,022.64 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $20.42 | Facility | 26 · Professional part | $14.45 | $19.95 | $20.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $31.62 Typical High $35.48 | Facility | TC · Technical part | $21.88 | $31.62 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $61.66 | Professional | None (both parts) | $36.31 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $21.88 | Professional | 26 · Professional part | $14.45 | $19.95 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $31.62 | $39.81 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $64.57 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $64.57 | $251.19 | $426.58 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $22.91 | $97.72 | $169.82 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $42.66 | $177.83 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $5,248.07 Typical High $11,748.98 | Facility | None | $2,290.87 | $5,248.07 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $28.84 | $38.02 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.48 Typical High $27.54 | Professional | 26 · Professional part | $8.71 | $11.48 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $25.12 | $38.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $107.15 Typical High $218.78 | Facility | None | $42.66 | $107.15 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $489.78 | Professional | None (both parts) | $69.18 | $87.10 | $489.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $177.83 | Professional | 26 · Professional part | $26.30 | $33.11 | $177.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $309.03 | Professional | TC · Technical part | $42.66 | $53.70 | $309.03 |
AvMed Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
AvMed Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $37.15 | Professional | None (both parts) | $26.92 | $33.88 | $37.15 |
BCBS Alabama Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $12.30 Median $53.70 Typical High $79.43 | Facility | None | $12.30 | $53.70 | $79.43 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $28.84 | $38.90 | $54.95 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $22.91 | $33.11 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.49 Typical High $22.39 | Professional | TC · Technical part | $11.75 | $15.49 | $22.39 |
BCBS Arkansas Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $51.29 | Facility | None | $36.31 | $36.31 | $51.29 |
BCBS Idaho Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $123.03 | Facility | None | $61.66 | $85.11 | $123.03 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $45.71 | $79.43 | $79.43 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $18.20 | $30.20 | $30.20 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $50.12 | $50.12 |
BCBS Illinois Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $64.57 | Facility | None | $47.86 | $53.70 | $64.57 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.11 | $60.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $42.66 Median $75.86 Typical High $123.03 | Facility | None | $42.66 | $75.86 | $123.03 |
BCBS Michigan Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $33.11 | $35.48 | $35.48 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $158.49 | Facility | None | $53.70 | $89.13 | $158.49 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $42.66 | $53.70 | $53.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
BCBS Nebraska Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $204.17 | Facility | None | $75.86 | $100.00 | $204.17 |
BCBS Nebraska Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $33.88 | $44.67 |
BCBS Nebraska Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $41.69 | $54.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | None (both parts) | $75.86 | $75.86 | $79.43 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $21.38 | $29.51 | $63.10 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $44.67 | $95.50 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $144.54 | Facility | None | $61.66 | $81.28 | $144.54 |
BCBS Tennessee Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,137.96 | Facility | None | $724.44 | $1,479.11 | $2,137.96 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $48.98 | $61.66 | $91.20 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $25.12 | $37.15 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $28.84 | $37.15 | $54.95 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $870.96 Typical High $1,905.46 | Facility | None | $63.10 | $870.96 | $1,905.46 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $41.69 Median $58.88 Typical High $69.18 | Professional | None (both parts) | $41.69 | $58.88 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $512.86 Typical High $1,258.93 | Facility | None | $57.54 | $512.86 | $1,258.93 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $616.60 Typical High $1,584.89 | Professional | None (both parts) | $70.79 | $616.60 | $1,584.89 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $61.66 | $61.66 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $114.82 | Facility | None | $33.88 | $79.43 | $114.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $27.54 Typical High $38.90 | Facility | 26 · Professional part | $5.89 | $27.54 | $38.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $8.51 Median $39.81 Typical High $57.54 | Facility | TC · Technical part | $8.51 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $269.15 | Professional | None (both parts) | $72.44 | $85.11 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $104.71 | Professional | 26 · Professional part | $27.54 | $41.69 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $44.67 | $63.10 | $165.96 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
DeanCare Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $117.49 | Facility | None | $50.12 | $61.66 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $77.62 | Facility | None | $53.70 | $53.70 | $77.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $50.12 | $67.61 | $87.10 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $31.62 | $53.70 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $2,951.21 | Facility | None | $30.20 | $57.54 | $2,951.21 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $30.20 | $48.98 | $93.33 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $58.88 | Facility | None | $51.29 | $53.70 | $58.88 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $57.54 | Professional | None (both parts) | $39.81 | $53.70 | $57.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $19.95 | $20.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $33.88 | $37.15 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $74.13 | $74.13 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $346.74 | Professional | None | $100.00 | $151.36 | $346.74 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $173.78 | Professional | None (both parts) | $53.70 | $74.13 | $173.78 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $30.20 | $61.66 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $109.65 | Professional | TC · Technical part | $41.69 | $63.10 | $109.65 |
Health Alliance Plan Setting Facility Modifier None Typical Low $51.29 Median $144.54 Typical High $4,897.79 | Facility | None | $51.29 | $144.54 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $50.12 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $50.12 | $51.29 | $66.07 |
Health Alliance Plan Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $20.42 | $21.88 | $28.84 |
Health Alliance Plan Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $37.15 | Professional | TC · Technical part | $28.18 | $30.90 | $37.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $173.78 | Facility | None | $83.18 | $138.04 | $173.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $51.29 | $58.88 | $77.62 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $18.20 | $20.89 | $28.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $38.02 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $123.03 | Professional | None | $50.12 | $63.10 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $24.55 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $42.66 | $77.62 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $67.61 | $123.03 | $190.55 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $407.38 | $489.78 | $489.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $162.18 | $177.83 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $245.47 | $309.03 | $309.03 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $38.90 | $45.71 | $51.29 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $16.98 | $19.50 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $31.62 | Professional | TC · Technical part | $23.44 | $28.84 | $31.62 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $64.57 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $64.57 | $251.19 | $426.58 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $22.91 | $97.72 | $169.82 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $42.66 | $177.83 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $87.10 | Facility | None | $48.98 | $54.95 | $87.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $48.98 | Professional | None (both parts) | $33.11 | $47.86 | $48.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $19.05 | $24.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $28.84 | $37.15 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $245.47 | Facility | None | $43.65 | $87.10 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $51.29 | $125.89 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $52.48 Typical High $158.49 | Professional | 26 · Professional part | $19.95 | $52.48 | $158.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $75.86 Typical High $239.88 | Professional | TC · Technical part | $31.62 | $75.86 | $239.88 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $269.15 | Professional | None (both parts) | $67.61 | $67.61 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $141.25 | Professional | None | $67.61 | $112.20 | $141.25 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $44.67 | $56.23 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $40.74 | $67.61 | $85.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $117.49 Typical High $141.25 | Professional | None (both parts) | $67.61 | $117.49 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $2,511.89 Typical High $7,943.28 | Facility | None | $53.70 | $2,511.89 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $58.88 | Professional | None (both parts) | $46.77 | $52.48 | $58.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $19.05 | $19.95 | $22.39 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $37.15 | Professional | TC · Technical part | $27.54 | $32.36 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $30.20 | $44.67 | $54.95 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $112.20 | Facility | None | $64.57 | $97.72 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $13.18 Median $13.18 Typical High $102.33 | Professional | None (both parts) | $13.18 | $13.18 | $102.33 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $23.99 | $26.30 | $26.30 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.02 | $38.90 | $38.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $53.70 | Facility | None | $29.51 | $48.98 | $53.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $74.13 | Facility | None | $67.61 | $67.61 | $74.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $218.78 | Professional | None (both parts) | $74.13 | $74.13 | $218.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $83.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $45.71 | $134.90 |
Prevea360 Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $117.49 | Facility | None | $50.12 | $61.66 | $117.49 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $67.61 Typical High $95.50 | Facility | None | $43.65 | $67.61 | $95.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $72.44 | $72.44 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $27.54 | $27.54 | $32.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | TC · Technical part | $44.67 | $44.67 | $52.48 |
Quartz Setting Professional Modifier None Typical Low $63.10 Median $109.65 Typical High $158.49 | Professional | None | $63.10 | $109.65 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $162.18 | Facility | None | $70.79 | $109.65 | $162.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $58.88 | $79.43 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $30.20 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $50.12 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $48.98 Typical High $123.03 | Facility | None | $47.86 | $48.98 | $123.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $79.43 | Professional | None (both parts) | $45.71 | $57.54 | $79.43 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $20.42 | $28.84 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $51.29 | Professional | TC · Technical part | $28.84 | $37.15 | $51.29 |
Sentara Setting Facility Modifier None Typical Low $21.38 Median $43.65 Typical High $141.25 | Facility | None | $21.38 | $43.65 | $141.25 |
Sentara Setting Professional Modifier None (both parts) Typical Low $13.80 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $13.80 | $36.31 | $72.44 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $12.30 | $21.38 | $29.51 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $35.48 | $47.86 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $24.55 Median $39.81 Typical High $74.13 | Professional | None | $24.55 | $39.81 | $74.13 |
United Setting Facility Modifier None Typical Low $47.86 Median $91.20 Typical High $158.49 | Facility | None | $47.86 | $91.20 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $43.65 | $61.66 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $23.44 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $26.92 | $38.02 | $69.18 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $30.20 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $30.20 | $67.61 | $79.43 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $11.75 | $34.67 | $36.31 |
Univera Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $18.20 | $31.62 | $48.98 |
Well Sense Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,951.21 | $3,630.78 | $4,897.79 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $53.70 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $24.55 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $33.88 | $38.90 | $38.90 |
27 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 Facility Modifier 52 · Reduced service Typical Low $18.20 Median $25.70 Typical High $26.92 | Facility | 52 · Reduced service | $18.20 | $25.70 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.24 Median $10.47 Typical High $10.96 | Facility | 53 · Discontinued | $7.24 | $10.47 | $10.96 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $26.92 Median $38.90 Typical High $40.74 | Facility | 54 · Surgery only | $26.92 | $38.90 | $40.74 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $5.37 Median $7.76 Typical High $8.13 | Facility | 55 · Aftercare only | $5.37 | $7.76 | $8.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.25 Typical High $5.37 | Facility | 56 · Pre-op care only | $3.63 | $5.25 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $18.20 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $10.00 Typical High $12.30 | Professional | 53 · Discontinued | $7.24 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $38.02 Typical High $46.77 | Professional | 54 · Surgery only | $26.92 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.59 Typical High $9.33 | Professional | 55 · Aftercare only | $5.37 | $7.59 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.01 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.63 | $5.01 | $6.17 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 78 · Unplanned return to OR | $28.84 | $33.88 | $33.88 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 54 · Surgery only | $38.90 | $38.90 | $38.90 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $7.76 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | 52 · Reduced service | $19.50 | $22.91 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.12 Typical High $10.23 | Professional | 53 · Discontinued | $7.76 | $9.12 | $10.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $34.67 Typical High $38.02 | Professional | 54 · Surgery only | $28.84 | $34.67 | $38.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.92 Typical High $7.59 | Professional | 55 · Aftercare only | $5.75 | $6.92 | $7.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.57 Typical High $5.13 | Professional | 56 · Pre-op care only | $3.89 | $4.57 | $5.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $23.99 Typical High $30.90 | Professional | 51 · Multiple procedures | $16.60 | $23.99 | $30.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $23.44 | $26.30 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $10.47 | $11.75 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $38.90 Typical High $44.67 | Professional | 54 · Surgery only | $34.67 | $38.90 | $44.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.76 Typical High $8.91 | Professional | 55 · Aftercare only | $6.92 | $7.76 | $8.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.25 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.68 | $5.25 | $5.89 |
What it costs in each state
The same service costs 3.3 times more in Nebraska than in New York. 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.
Touch or drag across the chart to see any state's rate.
NE $112NY $33.88
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.