How much rates vary
Facilitymedian $339 · 10th to 90th $138 to $1,660Professionalmedian $309 · 10th to 90th $126 to $871
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 $186.21 Median $186.21 Typical High $199.53 | Facility | None | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $660.69 | Professional | None (both parts) | $141.25 | $186.21 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $177.83 | Professional | 26 · Professional part | $33.88 | $40.74 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $102.33 | $144.54 | $144.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $446.68 Typical High $977.24 | Professional | None (both parts) | $125.89 | $446.68 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $104.71 Typical High $213.80 | Professional | 26 · Professional part | $26.30 | $104.71 | $213.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $676.08 Typical High $1,479.11 | Professional | 50 · Both sides | $186.21 | $676.08 | $1,479.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $338.84 Typical High $707.95 | Professional | TC · Technical part | $100.00 | $338.84 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $575.44 | Facility | None | $338.84 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $138.04 | $194.98 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $123.03 | Professional | 26 · Professional part | $32.36 | $43.65 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $151.36 | $407.38 |
DeanCare Setting Facility Modifier None Typical Low $138.04 Median $1,479.11 Typical High $1,995.26 | Facility | None | $138.04 | $1,479.11 | $1,995.26 |
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 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 $229.09 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $229.09 | $288.40 | $346.74 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $50.12 | $67.61 | $75.86 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $436.52 Typical High $524.81 | Professional | 50 · Both sides | $346.74 | $436.52 | $524.81 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $177.83 | $213.80 | $275.42 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $912.01 | Facility | None | $112.20 | $147.91 | $912.01 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $436.52 Typical High $870.96 | Professional | None (both parts) | $134.90 | $436.52 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $33.11 | $123.03 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $104.71 | $346.74 | $691.83 |
Network Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $218.78 | Facility | None | $204.17 | $204.17 | $218.78 |
Network Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $177.83 | $190.55 | $416.87 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $45.71 | $107.15 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $407.38 | Professional | TC · Technical part | $131.83 | $147.91 | $407.38 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $245.47 | Facility | None | $112.20 | $138.04 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $562.34 | Professional | None | $147.91 | $302.00 | $562.34 |
Quartz Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $416.87 | Professional | None (both parts) | $177.83 | $177.83 | $416.87 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $38.90 | $95.50 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $141.25 | $323.59 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Security Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $245.47 | $724.44 | $933.25 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $69.18 | $158.49 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $194.98 | $457.09 |
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 $125.89 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $125.89 | $263.03 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $28.84 | $63.10 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $416.87 | Professional | TC · Technical part | $95.50 | $199.53 | $416.87 |
10 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 $93.33 Median $93.33 Typical High $331.13 | Professional | 52 · Reduced service | $93.33 | $93.33 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $134.90 | Professional | 53 · Discontinued | $37.15 | $37.15 | $134.90 |
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 80 · Assistant surgeon Typical Low $36.31 Median $46.77 Typical High $56.23 | Professional | 80 · Assistant surgeon | $36.31 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $46.77 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $36.31 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $46.77 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $46.77 | $56.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | AS · PA/NP assist | $32.36 | $40.74 | $48.98 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in New York. 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
$309
AK $380NY $97.72
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.