How much rates vary
Facilitymedian $355 · 10th to 90th $145 to $1,660Professionalmedian $316 · 10th to 90th $132 to $891
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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $891.25 | Professional | None (both parts) | $147.91 | $194.98 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $223.87 | Professional | 26 · Professional part | $32.36 | $40.74 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $131.83 | $478.63 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $26.30 | $104.71 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $354.81 Typical High $724.44 | Professional | TC · Technical part | $104.71 | $354.81 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $134.90 | $204.17 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $123.03 | Professional | 26 · Professional part | $31.62 | $43.65 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $102.33 | $162.18 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $144.54 Median $1,479.11 Typical High $1,995.26 | Facility | None | $144.54 | $1,479.11 | $1,995.26 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $1,584.89 Typical High $1,995.26 | Facility | TC · Technical part | $1,288.25 | $1,584.89 | $1,995.26 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $239.88 | $302.00 | $363.08 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $67.61 | $75.86 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $239.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $912.01 | Facility | None | $117.49 | $154.88 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $457.09 Typical High $891.25 | Professional | None (both parts) | $134.90 | $457.09 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $33.11 | $120.23 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $102.33 | $346.74 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Facility | None | $204.17 | $204.17 | $229.09 |
Network Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $186.21 | $190.55 | $416.87 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $44.67 | $107.15 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $147.91 | $436.52 |
Prevea360 Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $257.04 | Facility | None | $117.49 | $144.54 | $257.04 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $588.84 | Professional | None | $147.91 | $295.12 | $588.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $186.21 | $186.21 | $416.87 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $38.90 | $93.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $147.91 | $316.23 |
Security Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $229.09 | $724.44 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $97.72 | $154.88 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $199.53 | $489.78 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $97.72 | $125.89 | $134.90 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $120.23 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $28.84 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $91.20 | $190.55 | $416.87 |
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 $97.72 Median $97.72 Typical High $446.68 | Professional | 52 · Reduced service | $97.72 | $97.72 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $181.97 | Professional | 53 · Discontinued | $38.90 | $38.90 | $181.97 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $724.44 Typical High $1,479.11 | Professional | 50 · Both sides | $194.98 | $724.44 | $1,479.11 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,905.46 Median $2,398.83 Typical High $3,019.95 | Facility | 50 · Both sides | $1,905.46 | $2,398.83 | $3,019.95 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 80 · Assistant surgeon | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 81 · Minimal assistant surgeon | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 82 · Assistant surgeon, no resident | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | AS · PA/NP assist | $177.83 | $223.87 | $281.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $457.09 Typical High $549.54 | Professional | 50 · Both sides | $363.08 | $457.09 | $549.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | 80 · Assistant surgeon | $38.90 | $48.98 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $38.90 | $48.98 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $48.98 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $42.66 Typical High $51.29 | Professional | AS · PA/NP assist | $33.88 | $42.66 | $51.29 |
Where Wisconsin sits
The same service costs 4.2 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
$316
AK $398NY $95.50
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.