How much rates vary
Facilitymedian $102 · 10th to 90th $36 to $275Professionalmedian $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 $263.03 | Professional | None (both parts) | $34.67 | $48.98 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $93.33 | Professional | 26 · Professional part | $8.13 | $12.02 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $37.15 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $125.89 Typical High $257.04 | Professional | None (both parts) | $30.90 | $125.89 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $7.76 | $31.62 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $23.44 | $85.11 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.23 Median $29.51 Typical High $39.81 | Professional | None (both parts) | $10.23 | $29.51 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $151.36 | Facility | None | $89.13 | $100.00 | $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 $9.55 Median $13.18 Typical High $36.31 | Professional | 26 · Professional part | $9.55 | $13.18 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $38.02 Typical High $100.00 | Professional | TC · Technical part | $24.55 | $38.02 | $100.00 |
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 $14.79 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $56.23 | $69.18 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $165.96 Typical High $223.87 | Facility | None | $36.31 | $165.96 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $34.67 | $123.03 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $10.00 | $36.31 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $23.99 | $85.11 | $162.18 |
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 $11.48 Median $13.18 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $13.18 | $32.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $95.50 | Professional | TC · Technical part | $33.11 | $33.88 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $63.10 | Facility | None | $28.18 | $36.31 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $141.25 | Professional | None | $37.15 | $75.86 | $141.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $46.77 | $46.77 | $102.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $35.48 | $74.13 |
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 $27.54 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $27.54 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $123.03 | Professional | TC · Technical part | $40.74 | $51.29 | $123.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $61.66 | $109.65 | $218.78 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $14.79 | $40.74 | $50.12 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $100.00 | $154.88 |
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 $31.62 Median $64.57 Typical High $131.83 | Professional | None (both parts) | $31.62 | $64.57 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $36.31 | Professional | 26 · Professional part | $8.71 | $17.78 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $22.91 | $46.77 | $95.50 |
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 $144.54 | Professional | 52 · Reduced service | $24.55 | $24.55 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $57.54 | Professional | 53 · Discontinued | $9.77 | $9.77 | $57.54 |
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 $89.13 Median $112.20 Typical High $138.04 | Professional | 50 · Both sides | $89.13 | $112.20 | $138.04 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | 80 · Assistant surgeon | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $12.02 | $14.45 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $10.47 Typical High $12.88 | Professional | AS · PA/NP assist | $8.32 | $10.47 | $12.88 |
Where Wisconsin sits
The same service costs 6.0 times more in Vermont than in Florida. 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· 4th of 51
$81.28
VT $155FL $25.70
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.