How much rates vary
Facilitymedian $692 · 10th to 90th $282 to $1,738Professionalmedian $891 · 10th to 90th $372 to $2,818
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 $691.83 Typical High $794.33 | Facility | None | $199.53 | $691.83 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $691.83 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $691.83 | $3,981.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $812.83 | Professional | 26 · Professional part | $100.00 | $147.91 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $331.13 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $1,230.27 Typical High $2,951.21 | Professional | None (both parts) | $309.03 | $1,230.27 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $251.19 Typical High $616.60 | Professional | 26 · Professional part | $63.10 | $251.19 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $977.24 Typical High $2,344.23 | Professional | TC · Technical part | $245.47 | $977.24 | $2,344.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $81.28 | $288.40 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,412.54 | Facility | None | $831.76 | $954.99 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $1,778.28 | Professional | None (both parts) | $436.52 | $524.81 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $316.23 | Professional | 26 · Professional part | $75.86 | $104.71 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $1,412.54 | Professional | TC · Technical part | $346.74 | $407.38 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $338.84 Median $1,230.27 Typical High $1,737.80 | Facility | None | $338.84 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $562.34 Median $776.25 Typical High $851.14 | Professional | None (both parts) | $562.34 | $776.25 | $851.14 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $162.18 | $177.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $602.56 Typical High $724.44 | Professional | TC · Technical part | $446.68 | $602.56 | $724.44 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $3,311.31 | Facility | None | $302.00 | $630.96 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,380.38 Typical High $2,818.38 | Professional | None (both parts) | $489.78 | $1,380.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $275.42 Typical High $467.74 | Professional | 26 · Professional part | $81.28 | $275.42 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,202.26 Typical High $2,511.89 | Professional | TC · Technical part | $407.38 | $1,202.26 | $2,511.89 |
Network Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $851.14 | Facility | None | $512.86 | $512.86 | $851.14 |
Network Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $954.99 | $1,258.93 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $134.90 | $257.04 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $831.76 Typical High $1,000.00 | Professional | TC · Technical part | $389.05 | $831.76 | $1,000.00 |
Prevea360 Setting Facility Modifier None Typical Low $281.84 Median $512.86 Typical High $676.08 | Facility | None | $281.84 | $512.86 | $676.08 |
Quartz Setting Professional Modifier None Typical Low $338.84 Median $691.83 Typical High $1,380.38 | Professional | None | $338.84 | $691.83 | $1,380.38 |
Quartz Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $436.52 | $436.52 | $1,148.15 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $93.33 | $223.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $933.25 | Professional | TC · Technical part | $346.74 | $346.74 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,089.30 Typical High $2,398.83 | Professional | None (both parts) | $1,659.59 | $2,089.30 | $2,398.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $371.54 | $436.52 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,737.80 Typical High $2,041.74 | Professional | TC · Technical part | $1,288.25 | $1,737.80 | $2,041.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,071.52 Typical High $2,630.27 | Professional | None (both parts) | $549.54 | $1,071.52 | $2,630.27 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $331.13 Typical High $489.78 | Professional | 26 · Professional part | $117.49 | $331.13 | $489.78 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $870.96 Typical High $1,659.59 | Professional | None (both parts) | $371.54 | $870.96 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $72.44 | $169.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $724.44 Typical High $1,348.96 | Professional | TC · Technical part | $295.12 | $724.44 | $1,348.96 |
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 $346.74 Median $346.74 Typical High $1,995.26 | Professional | 52 · Reduced service | $346.74 | $346.74 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $794.33 | Professional | 53 · Discontinued | $138.04 | $138.04 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $1,862.09 Typical High $4,466.84 | Professional | 50 · Both sides | $457.09 | $1,862.09 | $4,466.84 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 50 · Both sides | $1,659.59 | $2,089.30 | $2,630.27 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,148.15 Typical High $1,288.25 | Professional | 50 · Both sides | $851.14 | $1,148.15 | $1,288.25 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 80 · Assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $123.03 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $123.03 | $138.04 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | AS · PA/NP assist | $79.43 | $107.15 | $120.23 |
Where Wisconsin sits
The same service costs 5.1 times more in Wyoming 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· 3rd of 51
$891
WY $1,202UT $234
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.