How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $295Professionalmedian $79 · 10th to 90th $32 to $209
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 $47.86 Median $47.86 Typical High $199.53 | Facility | None | $47.86 | $47.86 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $223.87 | Professional | None (both parts) | $33.88 | $47.86 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $79.43 | Professional | 26 · Professional part | $8.13 | $11.48 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $36.31 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $123.03 Typical High $251.19 | Professional | None (both parts) | $31.62 | $123.03 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $7.76 | $31.62 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $23.44 | $83.18 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.77 Median $28.84 Typical High $38.90 | Professional | None (both parts) | $9.77 | $28.84 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $131.83 | Professional | None (both parts) | $33.11 | $48.98 | $131.83 |
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 $24.55 Median $37.15 Typical High $100.00 | Professional | TC · Technical part | $24.55 | $37.15 | $100.00 |
DeanCare Setting Facility Modifier None Typical Low $35.48 Median $251.19 Typical High $338.84 | Facility | None | $35.48 | $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 $58.88 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $58.88 | $75.86 | $89.13 |
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 $44.67 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $53.70 | $67.61 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $162.18 Typical High $346.74 | Facility | None | $29.51 | $162.18 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $34.67 | $123.03 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $10.00 | $36.31 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $25.12 | $93.33 | $158.49 |
Network Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $60.26 | Facility | None | $47.86 | $47.86 | $60.26 |
Network Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $128.82 | Professional | None (both parts) | $44.67 | $46.77 | $128.82 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $13.18 | $32.36 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $97.72 | Professional | TC · Technical part | $33.11 | $33.88 | $97.72 |
Prevea360 Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $63.10 | Facility | None | $28.18 | $35.48 | $63.10 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $141.25 | Professional | None | $36.31 | $74.13 | $141.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $102.33 | Professional | None (both parts) | $45.71 | $45.71 | $102.33 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $28.18 | Professional | 26 · Professional part | $10.96 | $10.96 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $34.67 | $34.67 | $74.13 |
Security Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $66.07 | $173.78 | $218.78 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $24.55 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $51.29 | $123.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $57.54 Median $100.00 Typical High $199.53 | Professional | None (both parts) | $57.54 | $100.00 | $199.53 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $14.79 | $39.81 | $50.12 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $44.67 | $97.72 | $154.88 |
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 $30.90 Median $64.57 Typical High $134.90 | Professional | None (both parts) | $30.90 | $64.57 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $8.51 | $18.20 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $22.91 | $47.86 | $97.72 |
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 $23.99 Median $23.99 Typical High $128.82 | Professional | 52 · Reduced service | $23.99 | $23.99 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $51.29 | Professional | 53 · Discontinued | $9.55 | $9.55 | $51.29 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $181.97 Typical High $380.19 | Professional | 50 · Both sides | $46.77 | $181.97 | $380.19 |
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 $87.10 Median $112.20 Typical High $134.90 | Professional | 50 · Both sides | $87.10 | $112.20 | $134.90 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $12.02 Typical High $14.13 | Professional | 80 · Assistant surgeon | $9.33 | $12.02 | $14.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $12.02 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $9.33 | $12.02 | $14.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $12.02 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $12.02 | $14.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $10.47 Typical High $12.59 | Professional | AS · PA/NP assist | $8.13 | $10.47 | $12.59 |
Where Wisconsin sits
The same service costs 3.8 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
$81.28
AK $95.50FL $25.12
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.