How much rates vary
Facilitymedian $200 · 10th to 90th $41 to $331Professionalmedian $85 · 10th to 90th $34 to $224
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 $38.90 Median $52.48 Typical High $199.53 | Facility | None | $38.90 | $52.48 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $52.48 Typical High $302.00 | Professional | None (both parts) | $33.88 | $52.48 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $114.82 | Professional | 26 · Professional part | $9.55 | $13.49 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $47.86 | Professional | TC · Technical part | $23.99 | $38.02 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $33.11 | $128.82 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $8.71 | $35.48 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $24.55 | $85.11 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.48 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $11.48 | $30.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $107.15 Typical High $158.49 | Facility | None | $93.33 | $107.15 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $54.95 Typical High $194.98 | Professional | None (both parts) | $36.31 | $54.95 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $40.74 | Professional | 26 · Professional part | $10.72 | $14.79 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $104.71 | Professional | TC · Technical part | $26.30 | $39.81 | $104.71 |
DeanCare Setting Facility Modifier None Typical Low $38.02 Median $251.19 Typical High $338.84 | Facility | None | $38.02 | $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 $63.10 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $63.10 | $81.28 | $97.72 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $16.60 | $22.91 | $25.70 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $56.23 | $70.79 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $218.78 Typical High $426.58 | Facility | None | $56.23 | $218.78 | $426.58 |
Medica Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $316.23 Typical High $575.44 | Facility | TC · Technical part | $131.83 | $316.23 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $37.15 | $138.04 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $11.22 | $40.74 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $25.70 | $87.10 | $177.83 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $63.10 | Facility | None | $50.12 | $50.12 | $63.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $50.12 Typical High $138.04 | Professional | None (both parts) | $46.77 | $50.12 | $138.04 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $36.31 | Professional | 26 · Professional part | $12.88 | $15.49 | $36.31 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $34.67 Typical High $102.33 | Professional | TC · Technical part | $33.88 | $34.67 | $102.33 |
Prevea360 Setting Facility Modifier None Typical Low $30.20 Median $38.02 Typical High $67.61 | Facility | None | $30.20 | $38.02 | $67.61 |
Quartz Setting Professional Modifier None Typical Low $39.81 Median $81.28 Typical High $151.36 | Professional | None | $39.81 | $81.28 | $151.36 |
Quartz Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $131.83 | Professional | None (both parts) | $50.12 | $50.12 | $131.83 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $12.88 | $31.62 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $36.31 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $67.61 | $181.97 | $229.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $33.11 | $54.95 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $52.48 | $123.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $63.10 | $104.71 | $223.87 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $16.60 | $47.86 | $69.18 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $47.86 | $100.00 | $165.96 |
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 $33.88 Median $67.61 Typical High $141.25 | Professional | None (both parts) | $33.88 | $67.61 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $9.77 | $20.89 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $23.44 | $47.86 | $100.00 |
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 $25.70 Median $25.70 Typical High $165.96 | Professional | 52 · Reduced service | $25.70 | $25.70 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $66.07 | Professional | 53 · Discontinued | $10.47 | $10.47 | $66.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $194.98 Typical High $407.38 | Professional | 50 · Both sides | $50.12 | $194.98 | $407.38 |
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 $95.50 Median $120.23 Typical High $144.54 | Professional | 50 · Both sides | $95.50 | $120.23 | $144.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | 80 · Assistant surgeon | $10.23 | $12.88 | $15.49 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | 81 · Minimal assistant surgeon | $10.23 | $12.88 | $15.49 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $12.88 | $15.49 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $11.22 Typical High $13.49 | Professional | AS · PA/NP assist | $8.91 | $11.22 | $13.49 |
Where Wisconsin sits
The same service costs 15.5 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· 5th of 51
$89.13
VT $427FL $27.54
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.