How much rates vary
Facilitymedian $468 · 10th to 90th $224 to $1,413Professionalmedian $708 · 10th to 90th $302 to $2,089
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 $199.53 Median $446.68 Typical High $446.68 | Facility | None | $199.53 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $3,019.95 | Professional | None (both parts) | $446.68 | $446.68 | $3,019.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $870.96 | Professional | 26 · Professional part | $107.15 | $107.15 | $870.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $281.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,023.29 Typical High $2,398.83 | Professional | None (both parts) | $251.19 | $1,023.29 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $223.87 Typical High $549.54 | Professional | 26 · Professional part | $56.23 | $223.87 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $1,513.56 Typical High $3,630.78 | Professional | 50 · Both sides | $380.19 | $1,513.56 | $3,630.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $794.33 Typical High $1,862.09 | Professional | TC · Technical part | $194.98 | $794.33 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,148.15 | Facility | None | $676.08 | $776.25 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $1,445.44 | Professional | None (both parts) | $363.08 | $398.11 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $281.84 | Professional | 26 · Professional part | $70.79 | $93.33 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $1,122.02 | Professional | TC · Technical part | $275.42 | $316.23 | $1,122.02 |
DeanCare Setting Facility Modifier None Typical Low $269.15 Median $1,174.90 Typical High $1,621.81 | Facility | None | $269.15 | $1,174.90 | $1,621.81 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,584.89 Median $1,995.26 Typical High $2,511.89 | Facility | 50 · Both sides | $1,584.89 | $1,995.26 | $2,511.89 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Facility | TC · Technical part | $1,071.52 | $1,318.26 | $1,659.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $457.09 Median $630.96 Typical High $707.95 | Professional | None (both parts) | $457.09 | $630.96 | $707.95 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $144.54 | $158.49 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $933.25 Typical High $1,047.13 | Professional | 50 · Both sides | $691.83 | $933.25 | $1,047.13 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $478.63 | $537.03 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $2,511.89 | Facility | None | $223.87 | $457.09 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $346.74 | $1,023.29 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $251.19 Typical High $398.11 | Professional | 26 · Professional part | $72.44 | $251.19 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $912.01 Typical High $1,737.80 | Professional | TC · Technical part | $275.42 | $912.01 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $660.69 | Facility | None | $407.38 | $407.38 | $660.69 |
Network Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $380.19 | $575.44 | $977.24 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $95.50 | $234.42 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $478.63 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $489.78 | Facility | None | $223.87 | $363.08 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $1,174.90 | Professional | None | $275.42 | $562.34 | $1,174.90 |
Quartz Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $912.01 | Professional | None (both parts) | $363.08 | $363.08 | $912.01 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $83.18 | $204.17 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $275.42 | $275.42 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Security Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,479.11 Typical High $1,862.09 | Professional | None (both parts) | $812.83 | $1,479.11 | $1,862.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $199.53 | $223.87 | $338.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $1,548.82 | Professional | TC · Technical part | $588.84 | $691.83 | $1,548.82 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $269.15 Typical High $288.40 | Professional | 26 · Professional part | $204.17 | $269.15 | $288.40 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $630.96 Typical High $1,348.96 | Professional | None (both parts) | $302.00 | $630.96 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $302.00 | Professional | 26 · Professional part | $66.07 | $141.25 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $501.19 Typical High $1,047.13 | Professional | TC · Technical part | $239.88 | $501.19 | $1,047.13 |
10 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 $223.87 Median $223.87 Typical High $1,479.11 | Professional | 52 · Reduced service | $223.87 | $223.87 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $602.56 | Professional | 53 · Discontinued | $89.13 | $89.13 | $602.56 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 80 · Assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 81 · Minimal assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 82 · Assistant surgeon, no resident | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $147.91 Median $186.21 Typical High $234.42 | Facility | AS · PA/NP assist | $147.91 | $186.21 | $234.42 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $100.00 Typical High $112.20 | Professional | 80 · Assistant surgeon | $74.13 | $100.00 | $112.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $100.00 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $74.13 | $100.00 | $112.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $100.00 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $100.00 | $112.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $87.10 Typical High $97.72 | Professional | AS · PA/NP assist | $64.57 | $87.10 | $97.72 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 2nd of 51
$676
AK $891UT $178
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.