How much rates vary
Facilitymedian $68 · 10th to 90th $24 to $275Professionalmedian $55 · 10th to 90th $25 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 $32.36 Median $32.36 Typical High $199.53 | Facility | None | $32.36 | $32.36 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $223.87 | Professional | None (both parts) | $25.70 | $32.36 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $95.50 | Professional | 26 · Professional part | $7.59 | $10.96 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | TC · Technical part | $16.60 | $21.38 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $20.89 | $85.11 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $7.41 | $24.55 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $13.49 | $54.95 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.33 Median $16.98 Typical High $26.92 | Professional | None (both parts) | $9.33 | $16.98 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $66.07 Typical High $97.72 | Facility | None | $57.54 | $66.07 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $109.65 | Professional | None (both parts) | $29.51 | $33.11 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $34.67 | Professional | 26 · Professional part | $8.91 | $11.75 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $75.86 | Professional | TC · Technical part | $20.42 | $22.39 | $75.86 |
DeanCare Setting Facility Modifier None Typical Low $23.99 Median $251.19 Typical High $338.84 | Facility | None | $23.99 | $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 $38.90 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $38.90 | $53.70 | $60.26 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $18.62 | $20.42 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $39.81 | Professional | TC · Technical part | $26.30 | $35.48 | $39.81 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $125.89 Typical High $223.87 | Facility | None | $19.95 | $125.89 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $24.55 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $24.55 | $89.13 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $9.12 | $33.11 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $56.23 Typical High $147.91 | Professional | TC · Technical part | $15.49 | $56.23 | $147.91 |
Network Health Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $48.98 | Facility | None | $31.62 | $31.62 | $48.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $85.11 | Professional | None (both parts) | $29.51 | $38.90 | $85.11 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $29.51 | Professional | 26 · Professional part | $10.47 | $12.02 | $29.51 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $26.92 | $56.23 |
Prevea360 Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $44.67 | Facility | None | $18.62 | $23.99 | $44.67 |
Quartz Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $93.33 | Professional | None | $23.99 | $50.12 | $93.33 |
Quartz Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $69.18 | Professional | None (both parts) | $30.90 | $30.90 | $69.18 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $25.70 | Professional | 26 · Professional part | $10.47 | $10.47 | $25.70 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $20.42 | $43.65 |
Security Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Security Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $48.98 | $134.90 | $144.54 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $24.55 | $42.66 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $42.66 | $95.50 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $39.81 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $39.81 | $89.13 | $151.36 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $13.49 | $38.90 | $45.71 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $26.30 | $57.54 | $104.71 |
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 $22.39 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $22.39 | $47.86 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $16.22 Typical High $33.88 | Professional | 26 · Professional part | $7.94 | $16.22 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $14.13 | $30.20 | $56.23 |
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 $16.22 Median $16.22 Typical High $112.20 | Professional | 52 · Reduced service | $16.22 | $16.22 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $44.67 | Professional | 53 · Discontinued | $6.46 | $6.46 | $44.67 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $125.89 Typical High $257.04 | Professional | 50 · Both sides | $30.90 | $125.89 | $257.04 |
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 $58.88 Median $81.28 Typical High $89.13 | Professional | 50 · Both sides | $58.88 | $81.28 | $89.13 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $8.51 Typical High $9.55 | Professional | 80 · Assistant surgeon | $6.31 | $8.51 | $9.55 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $8.51 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $6.31 | $8.51 | $9.55 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $8.51 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $8.51 | $9.55 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $7.59 Typical High $8.32 | Professional | AS · PA/NP assist | $5.50 | $7.59 | $8.32 |
Where Wisconsin sits
The same service costs 3.7 times more in Alaska 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· 3rd of 51
$54.95
AK $64.57FL $17.38
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.