How much rates vary
Facilitymedian $105 · 10th to 90th $36 to $282Professionalmedian $79 · 10th to 90th $32 to $209
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 $48.98 Median $48.98 Typical High $199.53 | Facility | None | $48.98 | $48.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $48.98 Typical High $302.00 | Professional | None (both parts) | $34.67 | $48.98 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $112.20 | Professional | 26 · Professional part | $8.91 | $13.18 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $22.91 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $31.62 | $123.03 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $8.51 | $33.88 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $22.91 | $85.11 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $28.84 Typical High $40.74 | Professional | None (both parts) | $11.22 | $28.84 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $151.36 | Facility | None | $89.13 | $102.33 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $131.83 | Professional | None (both parts) | $33.11 | $50.12 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $38.90 | Professional | 26 · Professional part | $10.00 | $13.80 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $97.72 | Professional | TC · Technical part | $23.44 | $37.15 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $36.31 Median $251.19 Typical High $338.84 | Facility | None | $36.31 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $60.26 | $75.86 | $91.20 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $21.38 | $24.55 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $56.23 | $67.61 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $117.49 Typical High $288.40 | Facility | None | $30.20 | $117.49 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $33.88 | $109.65 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $83.18 | Professional | 26 · Professional part | $10.00 | $36.31 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $23.99 | $85.11 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $60.26 | Facility | None | $47.86 | $47.86 | $60.26 |
Network Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $128.82 | Professional | None (both parts) | $44.67 | $46.77 | $128.82 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $34.67 | Professional | 26 · Professional part | $12.59 | $13.18 | $34.67 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $33.11 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $64.57 | Facility | None | $28.18 | $36.31 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $141.25 | Professional | None | $36.31 | $74.13 | $141.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $46.77 | $46.77 | $100.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $12.59 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $34.67 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $64.57 | $169.82 | $213.80 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $33.11 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $60.26 | $123.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $60.26 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $60.26 | $173.78 | $208.93 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $16.22 | $42.66 | $56.23 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $100.00 | $151.36 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $64.57 Typical High $131.83 | Professional | None (both parts) | $30.90 | $64.57 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $8.71 | $18.20 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $45.71 Typical High $93.33 | Professional | TC · Technical part | $22.39 | $45.71 | $93.33 |
13 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 $24.55 Median $24.55 Typical High $151.36 | Professional | 52 · Reduced service | $24.55 | $24.55 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $61.66 | Professional | 53 · Discontinued | $9.77 | $9.77 | $61.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $186.21 Typical High $389.05 | Professional | 50 · Both sides | $46.77 | $186.21 | $389.05 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $323.59 Median $407.38 Typical High $512.86 | Facility | 50 · Both sides | $323.59 | $407.38 | $512.86 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $114.82 Typical High $138.04 | Professional | 50 · Both sides | $91.20 | $114.82 | $138.04 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 80 · Assistant surgeon | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.72 Typical High $12.88 | Professional | AS · PA/NP assist | $8.51 | $10.72 | $12.88 |
Where Wisconsin sits
The same service costs 4.1 times more in Alaska 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.
Wisconsin· 3rd of 51
$81.28
AK $95.50NY $23.44
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.