How much rates vary
Facilitymedian $178 · 10th to 90th $45 to $295Professionalmedian $89 · 10th to 90th $35 to $234
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 $41.69 Median $56.23 Typical High $199.53 | Facility | None | $41.69 | $56.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $56.23 Typical High $295.12 | Professional | None (both parts) | $35.48 | $56.23 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $109.65 | Professional | 26 · Professional part | $8.51 | $12.59 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $52.48 | Professional | TC · Technical part | $26.92 | $43.65 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $128.82 Typical High $275.42 | Professional | None (both parts) | $35.48 | $128.82 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $8.13 | $32.36 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $95.50 Typical High $204.17 | Professional | TC · Technical part | $27.54 | $95.50 | $204.17 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.72 Median $34.67 Typical High $45.71 | Professional | None (both parts) | $10.72 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $169.82 | Facility | None | $100.00 | $114.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $56.23 Typical High $151.36 | Professional | None (both parts) | $37.15 | $56.23 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $39.81 | Professional | 26 · Professional part | $10.00 | $13.18 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $117.49 | Professional | TC · Technical part | $28.18 | $44.67 | $117.49 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $251.19 Typical High $338.84 | Facility | None | $41.69 | $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 $67.61 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $67.61 | $87.10 | $104.71 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $20.89 | $23.44 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $67.61 | $81.28 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $398.11 | Facility | None | $72.44 | $194.98 | $398.11 |
Medica Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $281.84 Typical High $501.19 | Facility | TC · Technical part | $117.49 | $281.84 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $38.90 | $147.91 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $10.47 | $38.02 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $27.54 | $100.00 | $181.97 |
Network Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Facility | None | $53.70 | $53.70 | $67.61 |
Network Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $147.91 | Professional | None (both parts) | $50.12 | $52.48 | $147.91 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $33.88 | Professional | 26 · Professional part | $12.02 | $13.80 | $33.88 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $38.90 | $112.20 |
Prevea360 Setting Facility Modifier None Typical Low $32.36 Median $41.69 Typical High $72.44 | Facility | None | $32.36 | $41.69 | $72.44 |
Quartz Setting Professional Modifier None Typical Low $42.66 Median $87.10 Typical High $162.18 | Professional | None | $42.66 | $87.10 | $162.18 |
Quartz Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $53.70 | $53.70 | $112.20 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $29.51 | Professional | 26 · Professional part | $12.02 | $12.02 | $29.51 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $85.11 | Professional | TC · Technical part | $41.69 | $41.69 | $85.11 |
Security Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Security Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $70.79 | $190.55 | $245.47 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $30.20 | $48.98 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $58.88 | $141.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $70.79 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $70.79 | $199.53 | $234.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $16.22 | $45.71 | $63.10 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $53.70 | $100.00 | $181.97 |
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 $35.48 Median $72.44 Typical High $147.91 | Professional | None (both parts) | $35.48 | $72.44 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $19.05 Typical High $38.02 | Professional | 26 · Professional part | $9.12 | $19.05 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $26.30 | $53.70 | $109.65 |
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 $28.18 Median $28.18 Typical High $162.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $64.57 | Professional | 53 · Discontinued | $11.22 | $11.22 | $64.57 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $204.17 Typical High $426.58 | Professional | 50 · Both sides | $53.70 | $204.17 | $426.58 |
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 $102.33 Median $128.82 Typical High $154.88 | Professional | 50 · Both sides | $102.33 | $128.82 | $154.88 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 80 · Assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $13.80 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $13.80 | $16.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | AS · PA/NP assist | $9.55 | $12.02 | $14.45 |
Where Wisconsin sits
The same service costs 13.5 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
$91.20
VT $389FL $28.84
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.