How much rates vary
Facilitymedian $871 · 10th to 90th $331 to $2,455Professionalmedian $955 · 10th to 90th $389 to $3,311
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 $724.44 Typical High $831.76 | Facility | None | $199.53 | $724.44 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $724.44 Typical High $4,786.30 | Professional | None (both parts) | $478.63 | $724.44 | $4,786.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $1,000.00 | Professional | 26 · Professional part | $120.23 | $173.78 | $1,000.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $331.13 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $316.23 | $1,288.25 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $302.00 Typical High $741.31 | Professional | 26 · Professional part | $75.86 | $302.00 | $741.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $977.24 Typical High $2,290.87 | Professional | TC · Technical part | $239.88 | $977.24 | $2,290.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $97.72 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $1,479.11 | Facility | None | $870.96 | $977.24 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $1,819.70 | Professional | None (both parts) | $457.09 | $549.54 | $1,819.70 |
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 $338.84 Median $407.38 Typical High $1,380.38 | Professional | TC · Technical part | $338.84 | $407.38 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $371.54 Median $1,778.28 Typical High $2,511.89 | Facility | None | $371.54 | $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 $575.44 Median $794.33 Typical High $891.25 | Professional | None (both parts) | $575.44 | $794.33 | $891.25 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $194.98 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $194.98 | $213.80 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $602.56 Typical High $676.08 | Professional | TC · Technical part | $436.52 | $602.56 | $676.08 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $758.58 Typical High $3,890.45 | Facility | None | $354.81 | $758.58 | $3,890.45 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,548.82 Typical High $3,311.31 | Professional | None (both parts) | $524.81 | $1,548.82 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $331.13 Typical High $588.84 | Professional | 26 · Professional part | $97.72 | $331.13 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $1,202.26 Typical High $2,951.21 | Professional | TC · Technical part | $407.38 | $1,202.26 | $2,951.21 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $891.25 | Facility | None | $537.03 | $537.03 | $891.25 |
Network Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,000.00 Typical High $1,318.26 | Professional | None (both parts) | $501.19 | $1,000.00 | $1,318.26 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $162.18 Typical High $309.03 | Professional | 26 · Professional part | $112.20 | $162.18 | $309.03 |
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 $331.13 Median $616.60 Typical High $758.58 | Facility | None | $331.13 | $616.60 | $758.58 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $724.44 Typical High $1,412.54 | Professional | None | $346.74 | $724.44 | $1,412.54 |
Quartz Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,202.26 | Professional | None (both parts) | $457.09 | $457.09 | $1,202.26 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $112.20 | $112.20 | $269.15 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $912.01 | Professional | TC · Technical part | $338.84 | $338.84 | $912.01 |
Security Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,344.23 Typical High $2,951.21 | Professional | None (both parts) | $1,862.09 | $2,344.23 | $2,951.21 |
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 $1,380.38 Median $1,737.80 Typical High $2,041.74 | Professional | TC · Technical part | $1,380.38 | $1,737.80 | $2,041.74 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $575.44 Median $933.25 Typical High $2,691.53 | Professional | None (both parts) | $575.44 | $933.25 | $2,691.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $398.11 Typical High $588.84 | Professional | 26 · Professional part | $138.04 | $398.11 | $588.84 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $630.96 Typical High $2,238.72 | Professional | TC · Technical part | $416.87 | $630.96 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $912.01 Typical High $1,737.80 | Professional | None (both parts) | $389.05 | $912.01 | $1,737.80 |
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 $295.12 Median $741.31 Typical High $1,348.96 | Professional | TC · Technical part | $295.12 | $741.31 | $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 $354.81 Median $354.81 Typical High $2,398.83 | Professional | 52 · Reduced service | $354.81 | $354.81 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $954.99 | Professional | 53 · Discontinued | $144.54 | $144.54 | $954.99 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $478.63 Median $1,905.46 Typical High $4,570.88 | Professional | 50 · Both sides | $478.63 | $1,905.46 | $4,570.88 |
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 $870.96 Median $1,202.26 Typical High $1,318.26 | Professional | 50 · Both sides | $870.96 | $1,202.26 | $1,318.26 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $125.89 Typical High $141.25 | Professional | 80 · Assistant surgeon | $93.33 | $125.89 | $141.25 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $125.89 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $93.33 | $125.89 | $141.25 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $125.89 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $125.89 | $141.25 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $112.20 Typical High $123.03 | Professional | AS · PA/NP assist | $81.28 | $112.20 | $123.03 |
Where Wisconsin sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$933
WY $1,259TX $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.