How much rates vary
Facilitymedian $813 · 10th to 90th $355 to $2,089Professionalmedian $1,023 · 10th to 90th $417 to $3,388
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 $758.58 Typical High $758.58 | Facility | None | $199.53 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $5,011.87 | Professional | None (both parts) | $630.96 | $758.58 | $5,011.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $1,479.11 | Professional | 26 · Professional part | $173.78 | $173.78 | $1,479.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,348.96 Typical High $3,235.94 | Professional | None (both parts) | $338.84 | $1,348.96 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $302.00 Typical High $741.31 | Professional | 26 · Professional part | $74.13 | $302.00 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $1,047.13 Typical High $2,511.89 | Professional | TC · Technical part | $263.03 | $1,047.13 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,548.82 | Facility | None | $912.01 | $1,047.13 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $1,949.84 | Professional | None (both parts) | $478.63 | $575.44 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $125.89 Typical High $380.19 | Professional | 26 · Professional part | $91.20 | $125.89 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $446.68 Typical High $1,479.11 | Professional | TC · Technical part | $371.54 | $446.68 | $1,479.11 |
DeanCare Setting Facility Modifier None Typical Low $398.11 Median $1,778.28 Typical High $2,511.89 | Facility | None | $398.11 | $1,778.28 | $2,511.89 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Facility | TC · Technical part | $1,621.81 | $1,995.26 | $2,511.89 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $616.60 Median $831.76 Typical High $933.25 | Professional | None (both parts) | $616.60 | $831.76 | $933.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $190.55 | $213.80 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $645.65 Typical High $724.44 | Professional | TC · Technical part | $478.63 | $645.65 | $724.44 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $3,235.94 | Facility | None | $371.54 | $741.31 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,548.82 Typical High $3,388.44 | Professional | None (both parts) | $562.34 | $1,548.82 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $331.13 Typical High $524.81 | Professional | 26 · Professional part | $95.50 | $331.13 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,288.25 Typical High $2,951.21 | Professional | TC · Technical part | $436.52 | $1,288.25 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $933.25 | Facility | None | $562.34 | $562.34 | $933.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,047.13 Typical High $1,380.38 | Professional | None (both parts) | $524.81 | $1,047.13 | $1,380.38 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $162.18 Typical High $309.03 | Professional | 26 · Professional part | $109.65 | $162.18 | $309.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $891.25 Typical High $1,071.52 | Professional | TC · Technical part | $416.87 | $891.25 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $354.81 Median $616.60 Typical High $812.83 | Facility | None | $354.81 | $616.60 | $812.83 |
Quartz Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $1,479.11 | Professional | None | $363.08 | $758.58 | $1,479.11 |
Quartz Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,258.93 | Professional | None (both parts) | $478.63 | $478.63 | $1,258.93 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $109.65 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $371.54 | $371.54 | $1,000.00 |
Security Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,454.71 Typical High $3,090.30 | Professional | None (both parts) | $1,995.26 | $2,454.71 | $3,090.30 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $446.68 Typical High $524.81 | Professional | 26 · Professional part | $363.08 | $446.68 | $524.81 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,862.09 Typical High $2,187.76 | Professional | TC · Technical part | $1,412.54 | $1,862.09 | $2,187.76 |
United Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $1,023.29 Typical High $2,187.76 | Professional | None (both parts) | $407.38 | $1,023.29 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $204.17 Typical High $389.05 | Professional | 26 · Professional part | $87.10 | $204.17 | $389.05 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $794.33 Typical High $1,445.44 | Professional | TC · Technical part | $316.23 | $794.33 | $1,445.44 |
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 $380.19 Median $380.19 Typical High $2,511.89 | Professional | 52 · Reduced service | $380.19 | $380.19 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $1,000.00 | Professional | 53 · Discontinued | $151.36 | $151.36 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $501.19 Median $2,041.74 Typical High $4,897.79 | Professional | 50 · Both sides | $501.19 | $2,041.74 | $4,897.79 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $2,398.83 Median $3,019.95 Typical High $3,801.89 | Facility | 50 · Both sides | $2,398.83 | $3,019.95 | $3,801.89 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 80 · Assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 81 · Minimal assistant surgeon | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $323.59 Typical High $407.38 | Facility | 82 · Assistant surgeon, no resident | $257.04 | $323.59 | $407.38 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $223.87 Median $281.84 Typical High $354.81 | Facility | AS · PA/NP assist | $223.87 | $281.84 | $354.81 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,258.93 Typical High $1,412.54 | Professional | 50 · Both sides | $933.25 | $1,258.93 | $1,412.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $134.90 Typical High $151.36 | Professional | 80 · Assistant surgeon | $97.72 | $134.90 | $151.36 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $134.90 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $97.72 | $134.90 | $151.36 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $134.90 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $134.90 | $151.36 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $117.49 Typical High $131.83 | Professional | AS · PA/NP assist | $87.10 | $117.49 | $131.83 |
Where Wisconsin sits
The same service costs 5.4 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
$1,023
WY $1,318UT $245
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.