How much rates vary
Facilitymedian $112 · 10th to 90th $37 to $282Professionalmedian $76 · 10th to 90th $31 to $200
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 $46.77 Median $46.77 Typical High $199.53 | Facility | None | $46.77 | $46.77 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $208.93 | Professional | None (both parts) | $33.11 | $46.77 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.02 Typical High $107.15 | Professional | 26 · Professional part | $8.13 | $12.02 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $34.67 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $30.20 | $117.49 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $28.84 Typical High $64.57 | Professional | 26 · Professional part | $7.76 | $28.84 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $22.39 | $77.62 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.23 Median $28.18 Typical High $38.90 | Professional | None (both parts) | $10.23 | $28.18 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $144.54 | Facility | None | $85.11 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $128.82 | Professional | None (both parts) | $31.62 | $47.86 | $128.82 |
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 $22.91 Median $36.31 Typical High $95.50 | Professional | TC · Technical part | $22.91 | $36.31 | $95.50 |
DeanCare Setting Facility Modifier None Typical Low $34.67 Median $251.19 Typical High $338.84 | Facility | None | $34.67 | $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 $57.54 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $57.54 | $72.44 | $87.10 |
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 $42.66 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $51.29 | $64.57 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $154.88 Typical High $288.40 | Facility | None | $34.67 | $154.88 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $33.11 | $112.20 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $10.00 | $36.31 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $23.44 | $87.10 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $57.54 | Facility | None | $45.71 | $45.71 | $57.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $123.03 | Professional | None (both parts) | $42.66 | $45.71 | $123.03 |
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 $31.62 Median $32.36 Typical High $91.20 | Professional | TC · Technical part | $31.62 | $32.36 | $91.20 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $61.66 | Facility | None | $26.92 | $34.67 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $34.67 Median $72.44 Typical High $138.04 | Professional | None | $34.67 | $72.44 | $138.04 |
Quartz Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $97.72 | Professional | None (both parts) | $44.67 | $44.67 | $97.72 |
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 $33.11 Median $33.11 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $33.11 | $69.18 |
Security Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $60.26 | $165.96 | $208.93 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $24.55 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $114.82 | Professional | TC · Technical part | $38.02 | $47.86 | $114.82 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $54.95 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $54.95 | $100.00 | $173.78 |
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 $42.66 Median $93.33 Typical High $147.91 | Professional | TC · Technical part | $42.66 | $93.33 | $147.91 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $61.66 Typical High $128.82 | Professional | None (both parts) | $30.20 | $61.66 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.78 Typical High $36.31 | Professional | 26 · Professional part | $8.32 | $17.78 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $21.88 | $45.71 | $91.20 |
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 $23.44 Median $23.44 Typical High $107.15 | Professional | 52 · Reduced service | $23.44 | $23.44 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $42.66 | Professional | 53 · Discontinued | $9.33 | $9.33 | $42.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $177.83 Typical High $363.08 | Professional | 50 · Both sides | $44.67 | $177.83 | $363.08 |
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 $85.11 Median $109.65 Typical High $131.83 | Professional | 50 · Both sides | $85.11 | $109.65 | $131.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 80 · Assistant surgeon | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $10.00 Typical High $12.30 | Professional | AS · PA/NP assist | $7.94 | $10.00 | $12.30 |
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
$77.62
AK $91.20FL $24.55
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.