How much rates vary
Facilitymedian $1,230 · 10th to 90th $155 to $5,754Professionalmedian $302 · 10th to 90th $45 to $603
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 $128.82 Median $199.53 Typical High $2,511.89 | Facility | None | $128.82 | $199.53 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $51.29 | $51.29 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $2,630.27 | Facility | None | $977.24 | $1,949.84 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $67.61 | $316.23 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $363.08 | Professional | 26 · Professional part | $74.13 | $91.20 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $199.53 | $239.88 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $4,466.84 | Facility | None | $1,819.70 | $2,344.23 | $4,466.84 |
BCBS Alabama Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Arizona Setting Facility Modifier None Typical Low $25.12 Median $112.20 Typical High $169.82 | Facility | None | $25.12 | $112.20 | $169.82 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $50.12 | $50.12 | $95.50 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $15.14 | $28.84 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $34.67 | $67.61 |
BCBS Arkansas Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $891.25 | Facility | None | $630.96 | $630.96 | $891.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,238.72 | Facility | None | $1,071.52 | $1,548.82 | $2,238.72 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $229.09 | $257.04 | $269.15 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $269.15 | Professional | 26 · Professional part | $29.51 | $34.67 | $269.15 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $223.87 Typical High $234.42 | Professional | TC · Technical part | $199.53 | $223.87 | $234.42 |
BCBS Illinois Setting Facility Modifier None Typical Low $812.83 Median $912.01 Typical High $1,122.02 | Facility | None | $812.83 | $912.01 | $1,122.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,187.76 | Facility | None | $758.58 | $1,288.25 | $2,187.76 |
BCBS Michigan Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $575.44 | $602.56 | $602.56 |
BCBS Minnesota Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $2,884.03 | Facility | None | $870.96 | $1,621.81 | $2,884.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS Nebraska Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $933.25 | Facility | None | $338.84 | $457.09 | $933.25 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $45.71 | $60.26 | $100.00 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,905.46 | Facility | None | $1,202.26 | $1,445.44 | $1,905.46 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.13 Median $22.91 Typical High $26.92 | Professional | None (both parts) | $8.13 | $22.91 | $26.92 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $977.24 Typical High $2,041.74 | Facility | None | $67.61 | $977.24 | $2,041.74 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $81.28 | $114.82 | $169.82 |
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 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $338.84 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $4,073.80 | Facility | None | $645.65 | $1,995.26 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
DeanCare Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,548.13 | Facility | None | $2,290.87 | $2,818.38 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $100,000.00 Typical High $316,227.77 | Facility | None | $1,230.27 | $100,000.00 | $316,227.77 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,230.27 Median $100,000.00 Typical High $316,227.77 | Facility | 26 · Professional part | $1,230.27 | $100,000.00 | $316,227.77 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,230.27 Median $100,000.00 Typical High $316,227.77 | Facility | TC · Technical part | $1,230.27 | $100,000.00 | $316,227.77 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,949.84 Typical High $3,019.95 | Professional | None (both parts) | $1,445.44 | $1,949.84 | $3,019.95 |
Health Alliance Plan Setting Facility Modifier None Typical Low $123.03 Median $3,548.13 Typical High $5,011.87 | Facility | None | $123.03 | $3,548.13 | $5,011.87 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $41.69 | $47.86 | $56.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Hometown Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $2,951.21 | Facility | None | $1,412.54 | $2,344.23 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $602.56 | Professional | None | $295.12 | $354.81 | $602.56 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $338.84 Typical High $426.58 | Professional | 26 · Professional part | $38.90 | $338.84 | $426.58 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $363.08 Typical High $457.09 | Professional | TC · Technical part | $338.84 | $363.08 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $51.29 | $51.29 | $57.54 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $302.00 Typical High $1,000.00 | Facility | None | $60.26 | $302.00 | $1,000.00 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $3,548.13 | Facility | None | $2,089.30 | $2,290.87 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $234.42 Typical High $1,318.26 | Facility | None | $229.09 | $234.42 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $2,511.89 | Professional | None (both parts) | $758.58 | $758.58 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $30.20 | $30.20 | $60.26 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $338.84 Typical High $338.84 | Facility | None | $234.42 | $338.84 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $47.86 | $64.57 | $79.43 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $2,754.23 | Facility | None | $323.59 | $645.65 | $2,754.23 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $331.13 Typical High $354.81 | Professional | None (both parts) | $79.43 | $331.13 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,288.25 | $1,905.46 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $309.03 | Facility | None | $281.84 | $281.84 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $758.58 | Professional | None (both parts) | $275.42 | $295.12 | $758.58 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $281.84 Typical High $436.52 | Professional | 26 · Professional part | $27.54 | $281.84 | $436.52 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
Sentara Setting Professional Modifier None (both parts) Typical Low $4,570.88 Median $10,232.93 Typical High $11,481.54 | Professional | None (both parts) | $4,570.88 | $10,232.93 | $11,481.54 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None (both parts) | $50.12 | $50.12 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $660.69 | Professional | None (both parts) | $39.81 | $53.70 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $660.69 | Professional | 26 · Professional part | $39.81 | $52.48 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $2.95 Typical High $3.47 | Professional | TC · Technical part | $2.57 | $2.95 | $3.47 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
5 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $181.97 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $162.18 | $181.97 | $190.55 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $363.08 Median $457.09 Typical High $575.44 | Facility | 80 · Assistant surgeon | $363.08 | $457.09 | $575.44 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $363.08 Median $457.09 Typical High $575.44 | Facility | 81 · Minimal assistant surgeon | $363.08 | $457.09 | $575.44 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $363.08 Median $457.09 Typical High $575.44 | Facility | 82 · Assistant surgeon, no resident | $363.08 | $457.09 | $575.44 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $316.23 Median $398.11 Typical High $501.19 | Facility | AS · PA/NP assist | $316.23 | $398.11 | $501.19 |
What it costs in each state
The same service costs 112.2 times more in Washington, DC than in Texas. 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.
DC $3,020TX $26.92
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.