How much rates vary
Facilitymedian $5,012 · 10th to 90th $603 to $13,804Professionalmedian $1,660 · 10th to 90th $263 to $1,660
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $6,025.60 Typical High $14,791.08 | Facility | None | $1,122.02 | $6,025.60 | $14,791.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $1,659.59 | Facility | None | $194.98 | $194.98 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $2,137.96 Typical High $2,818.38 | Facility | None | $512.86 | $2,137.96 | $2,818.38 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,585.78 | Facility | None | $5,011.87 | $5,011.87 | $7,585.78 |
CDPHP Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,073.80 | $12,302.69 |
CareSource Setting Facility Modifier None Typical Low $70,794.58 Median $70,794.58 Typical High $70,794.58 | Facility | None | $70,794.58 | $70,794.58 | $70,794.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | None (both parts) | $74,131.02 | $74,131.02 | $74,131.02 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $676.08 | Professional | None (both parts) | $263.03 | $302.00 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $478.63 Typical High $588.84 | Professional | None | $141.25 | $478.63 | $588.84 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $251.19 | $251.19 | $416.87 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,071.52 | Facility | None | $457.09 | $575.44 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3.98 Median $3.98 Typical High $302.00 | Professional | None (both parts) | $3.98 | $3.98 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $524.81 | Facility | None | $316.23 | $436.52 | $524.81 |
Premera BCBS Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Facility | None | $354.81 | $354.81 | $363.08 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $371.54 | $562.34 | $562.34 |
8 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $100.00 | $100.00 | $173.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $371.54 Median $380.19 Typical High $794.33 | Professional | 50 · Both sides | $371.54 | $380.19 | $794.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $125.89 Typical High $263.03 | Professional | 51 · Multiple procedures | $125.89 | $125.89 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $50.12 Typical High $104.71 | Professional | 80 · Assistant surgeon | $50.12 | $50.12 | $104.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $35.48 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $34.67 | $35.48 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $35.48 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $35.48 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $35.48 Typical High $74.13 | Professional | AS · PA/NP assist | $34.67 | $35.48 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $151.36 | $263.03 |
What it costs in each state
The same service costs 3548.1 times more in Connecticut than in Pennsylvania. 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.
CT $14,125PA $3.98
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.