How much rates vary
Facilitymedian $295 · 10th to 90th $120 to $1,660Professionalmedian $309 · 10th to 90th $132 to $955
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 $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $1,023.29 | Professional | None (both parts) | $147.91 | $162.18 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $354.81 | Professional | 26 · Professional part | $30.90 | $44.67 | $354.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $114.82 | $114.82 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $123.03 | $501.19 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $28.84 | $112.20 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $380.19 Typical High $691.83 | Professional | TC · Technical part | $95.50 | $380.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $501.19 | Facility | None | $295.12 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $575.44 | Professional | None (both parts) | $147.91 | $169.82 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $123.03 | Professional | 26 · Professional part | $33.88 | $47.86 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $426.58 | Professional | TC · Technical part | $112.20 | $123.03 | $426.58 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $1,479.11 Typical High $1,995.26 | Facility | None | $120.23 | $1,479.11 | $1,995.26 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,288.25 Median $1,584.89 Typical High $1,995.26 | Facility | TC · Technical part | $1,288.25 | $1,584.89 | $1,995.26 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $194.98 | $269.15 | $302.00 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $70.79 | $83.18 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $194.98 | $223.87 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $912.01 | Facility | None | $100.00 | $125.89 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $151.36 | $501.19 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $33.11 | $123.03 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $120.23 | $389.05 | $794.33 |
Network Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Facility | None | $213.80 | $213.80 | $269.15 |
Network Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $169.82 | $218.78 | $446.68 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $45.71 | $117.49 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $173.78 | $389.05 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $239.88 | Facility | None | $100.00 | $120.23 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $478.63 | Professional | None | $128.82 | $269.15 | $478.63 |
Quartz Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $154.88 | $154.88 | $446.68 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $42.66 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $346.74 | Professional | TC · Technical part | $112.20 | $112.20 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Security Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $234.42 | $691.83 | $977.24 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $100.00 | $162.18 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $602.56 | Professional | TC · Technical part | $154.88 | $204.17 | $602.56 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $144.54 | $177.83 |
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 $131.83 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $131.83 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $29.51 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $95.50 | $223.87 | $457.09 |
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 $81.28 Median $81.28 Typical High $524.81 | Professional | 52 · Reduced service | $81.28 | $81.28 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $208.93 | Professional | 53 · Discontinued | $32.36 | $32.36 | $208.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $741.31 Typical High $1,288.25 | Professional | 50 · Both sides | $186.21 | $741.31 | $1,288.25 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,905.46 Median $2,398.83 Typical High $3,019.95 | Facility | 50 · Both sides | $1,905.46 | $2,398.83 | $3,019.95 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 80 · Assistant surgeon | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 81 · Minimal assistant surgeon | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $257.04 Typical High $323.59 | Facility | 82 · Assistant surgeon, no resident | $204.17 | $257.04 | $323.59 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | AS · PA/NP assist | $177.83 | $223.87 | $281.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $407.38 Typical High $446.68 | Professional | 50 · Both sides | $295.12 | $407.38 | $446.68 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $42.66 Typical High $47.86 | Professional | 80 · Assistant surgeon | $31.62 | $42.66 | $47.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $42.66 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $31.62 | $42.66 | $47.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $42.66 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $42.66 | $47.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $38.02 Typical High $41.69 | Professional | AS · PA/NP assist | $27.54 | $38.02 | $41.69 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska 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· 2nd of 51
$309
AK $355TX $100
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.