How much rates vary
Facilitymedian $95 · 10th to 90th $35 to $275Professionalmedian $76 · 10th to 90th $32 to $204
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 $46.77 Median $46.77 Typical High $199.53 | Facility | None | $46.77 | $46.77 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $269.15 | Professional | None (both parts) | $33.88 | $46.77 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $85.11 | Professional | 26 · Professional part | $7.94 | $11.48 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $25.12 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $30.20 | $123.03 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $7.41 | $30.20 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $22.91 | $85.11 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $144.54 | Facility | None | $85.11 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $128.82 | Professional | None (both parts) | $33.11 | $48.98 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $36.31 | Professional | 26 · Professional part | $9.55 | $12.59 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $36.31 Typical High $97.72 | Professional | TC · Technical part | $23.99 | $36.31 | $97.72 |
DeanCare Setting Facility Modifier None Typical Low $34.67 Median $251.19 Typical High $338.84 | Facility | None | $34.67 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $57.54 | $72.44 | $87.10 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.50 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $19.50 | $21.38 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $51.29 | $66.07 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $223.87 | Facility | None | $27.54 | $37.15 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $33.11 | $112.20 | $204.17 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $9.55 | $34.67 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $23.99 | $83.18 | $154.88 |
Network Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Facility | None | $46.77 | $46.77 | $57.54 |
Network Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $125.89 | Professional | None (both parts) | $43.65 | $52.48 | $125.89 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $10.96 | $13.18 | $30.90 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $39.81 Typical High $95.50 | Professional | TC · Technical part | $32.36 | $39.81 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $27.54 Median $34.67 Typical High $61.66 | Facility | None | $27.54 | $34.67 | $61.66 |
Quartz Setting Professional Modifier None Typical Low $33.88 Median $70.79 Typical High $138.04 | Professional | None | $33.88 | $70.79 | $138.04 |
Quartz Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $97.72 | Professional | None (both parts) | $44.67 | $44.67 | $97.72 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $10.96 | $26.92 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $33.88 | $70.79 |
Security Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Security Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $64.57 | $165.96 | $208.93 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $24.55 | $44.67 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $41.69 | $51.29 | $117.49 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | None (both parts) | $151.36 | $151.36 | $158.49 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $13.49 | $35.48 | $47.86 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $29.51 | $64.57 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.38 Typical High $35.48 | Professional | 26 · Professional part | $8.32 | $17.38 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $47.86 Typical High $100.00 | Professional | TC · Technical part | $21.88 | $47.86 | $100.00 |
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 $23.44 Median $23.44 Typical High $134.90 | Professional | 52 · Reduced service | $23.44 | $23.44 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $53.70 | Professional | 53 · Discontinued | $9.33 | $9.33 | $53.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $181.97 Typical High $371.54 | Professional | 50 · Both sides | $45.71 | $181.97 | $371.54 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $323.59 Median $407.38 Typical High $512.86 | Facility | 50 · Both sides | $323.59 | $407.38 | $512.86 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | 50 · Both sides | $85.11 | $109.65 | $131.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 80 · Assistant surgeon | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $11.48 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $11.48 | $13.80 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $10.00 Typical High $12.30 | Professional | AS · PA/NP assist | $7.94 | $10.00 | $12.30 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$77.62
AK $85.11FL $24.55
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.