How much rates vary
Facilitymedian $132 · 10th to 90th $43 to $288Professionalmedian $91 · 10th to 90th $36 to $240
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 $42.66 Median $57.54 Typical High $199.53 | Facility | None | $42.66 | $57.54 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $288.40 | Professional | None (both parts) | $34.67 | $57.54 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.00 Typical High $72.44 | Professional | 26 · Professional part | $6.92 | $10.00 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $36.31 | $141.25 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $6.46 | $25.70 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $30.20 | $107.15 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.51 Median $38.02 Typical High $46.77 | Professional | None (both parts) | $8.51 | $38.02 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $177.83 | Facility | None | $104.71 | $117.49 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $58.88 Typical High $154.88 | Professional | None (both parts) | $38.02 | $58.88 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $29.51 | Professional | 26 · Professional part | $7.76 | $10.72 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $128.82 | Professional | TC · Technical part | $30.90 | $48.98 | $128.82 |
DeanCare Setting Facility Modifier None Typical Low $42.66 Median $251.19 Typical High $338.84 | Facility | None | $42.66 | $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 $70.79 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $70.79 | $89.13 | $107.15 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $16.60 | $18.62 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $72.44 | $89.13 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $169.82 Typical High $302.00 | Facility | None | $63.10 | $169.82 | $302.00 |
Medica Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $223.87 Typical High $346.74 | Facility | TC · Technical part | $89.13 | $223.87 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $38.02 | $141.25 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $8.32 | $30.20 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $29.51 | $109.65 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $69.18 | Facility | None | $54.95 | $54.95 | $69.18 |
Network Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $151.36 | Professional | None (both parts) | $51.29 | $53.70 | $151.36 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $26.30 | Professional | 26 · Professional part | $9.55 | $10.96 | $26.30 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $42.66 | $123.03 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $42.66 Typical High $75.86 | Facility | None | $33.11 | $42.66 | $75.86 |
Quartz Setting Professional Modifier None Typical Low $43.65 Median $89.13 Typical High $165.96 | Professional | None | $43.65 | $89.13 | $165.96 |
Quartz Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | None (both parts) | $54.95 | $54.95 | $114.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $23.44 | Professional | 26 · Professional part | $9.55 | $9.55 | $23.44 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $45.71 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $67.61 | $199.53 | $251.19 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $15.14 | $24.55 | $38.90 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $158.49 | Professional | TC · Technical part | $39.81 | $61.66 | $158.49 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $69.18 | $114.82 | $234.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $12.30 | $33.11 | $41.69 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $60.26 | $100.00 | $204.17 |
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 $33.11 Median $70.79 Typical High $169.82 | Professional | None (both parts) | $33.11 | $70.79 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $15.85 Typical High $32.36 | Professional | 26 · Professional part | $7.08 | $15.85 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $26.30 | $56.23 | $120.23 |
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 $28.84 Median $28.84 Typical High $158.49 | Professional | 52 · Reduced service | $28.84 | $28.84 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $63.10 | Professional | 53 · Discontinued | $11.48 | $11.48 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $54.95 Median $208.93 Typical High $436.52 | Professional | 50 · Both sides | $54.95 | $208.93 | $436.52 |
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 $104.71 Median $131.83 Typical High $158.49 | Professional | 50 · Both sides | $104.71 | $131.83 | $158.49 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 80 · Assistant surgeon | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $14.13 | $16.98 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | AS · PA/NP assist | $9.77 | $12.30 | $14.79 |
Where Wisconsin sits
The same service costs 11.5 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
$93.33
VT $339FL $29.51
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.