How much rates vary
Facilitymedian $182 · 10th to 90th $50 to $355Professionalmedian $81 · 10th to 90th $33 to $224
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 $44.67 Median $51.29 Typical High $199.53 | Facility | None | $44.67 | $51.29 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $275.42 | Professional | None (both parts) | $34.67 | $51.29 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $104.71 | Professional | 26 · Professional part | $8.32 | $12.02 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $38.90 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $30.90 | $123.03 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $7.94 | $31.62 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $91.20 Typical High $190.55 | Professional | TC · Technical part | $25.12 | $91.20 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.23 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $10.23 | $30.90 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $104.71 Typical High $154.88 | Facility | None | $91.20 | $104.71 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $54.95 Typical High $194.98 | Professional | None (both parts) | $34.67 | $54.95 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $38.90 | Professional | 26 · Professional part | $10.00 | $13.18 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $107.15 | Professional | TC · Technical part | $26.30 | $39.81 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $38.02 Median $251.19 Typical High $338.84 | Facility | None | $38.02 | $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 $63.10 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $63.10 | $79.43 | $95.50 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.95 | $22.39 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $60.26 | $72.44 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $194.98 Typical High $467.74 | Facility | None | $144.54 | $194.98 | $467.74 |
Medica Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $309.03 Typical High $446.68 | Facility | TC · Technical part | $125.89 | $309.03 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $37.15 | $138.04 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $10.00 | $37.15 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $26.92 | $93.33 | $169.82 |
Network Health Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $64.57 | Facility | None | $50.12 | $50.12 | $64.57 |
Network Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $134.90 | Professional | None (both parts) | $46.77 | $51.29 | $134.90 |
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 $35.48 Median $38.02 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $38.02 | $104.71 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $66.07 | Facility | None | $29.51 | $38.02 | $66.07 |
Quartz Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $147.91 | Professional | None | $38.02 | $77.62 | $147.91 |
Quartz Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $128.82 | Professional | None (both parts) | $48.98 | $48.98 | $128.82 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $11.48 | $28.18 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $37.15 | $77.62 |
Security Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $67.61 | $181.97 | $229.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $33.11 | $46.77 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $138.04 | Professional | TC · Technical part | $43.65 | $53.70 | $138.04 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $229.09 | Professional | None (both parts) | $60.26 | $102.33 | $229.09 |
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 $47.86 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $100.00 | $169.82 |
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 $32.36 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $32.36 | $69.18 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $18.62 Typical High $36.31 | Professional | 26 · Professional part | $8.91 | $18.62 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $51.29 Typical High $102.33 | Professional | TC · Technical part | $24.55 | $51.29 | $102.33 |
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 $25.70 Median $25.70 Typical High $151.36 | Professional | 52 · Reduced service | $25.70 | $25.70 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $61.66 | Professional | 53 · Discontinued | $10.23 | $10.23 | $61.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $194.98 Typical High $407.38 | Professional | 50 · Both sides | $48.98 | $194.98 | $407.38 |
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 $93.33 Median $117.49 Typical High $141.25 | Professional | 50 · Both sides | $93.33 | $117.49 | $141.25 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 80 · Assistant surgeon | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $12.59 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $12.59 | $15.14 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $10.96 Typical High $13.18 | Professional | AS · PA/NP assist | $8.71 | $10.96 | $13.18 |
Where Wisconsin sits
The same service costs 15.1 times more in Vermont 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· 5th of 51
$87.10
VT $407FL $26.92
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.