How much rates vary
Facilitymedian $355 · 10th to 90th $148 to $1,585Professionalmedian $372 · 10th to 90th $174 to $1,380
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 $199.53 Median $245.47 Typical High $245.47 | Facility | None | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $2,238.72 | Professional | None (both parts) | $223.87 | $245.47 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $575.44 | Professional | 26 · Professional part | $51.29 | $87.10 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $112.20 | $158.49 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $524.81 Typical High $1,288.25 | Professional | None (both parts) | $128.82 | $524.81 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $186.21 Typical High $457.09 | Professional | 26 · Professional part | $45.71 | $186.21 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $91.20 | $346.74 | $812.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $60.26 | $102.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Facility | None | $354.81 | $407.38 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $758.58 | Professional | None (both parts) | $190.55 | $229.09 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $213.80 | Professional | 26 · Professional part | $61.66 | $75.86 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $489.78 | Professional | TC · Technical part | $123.03 | $147.91 | $489.78 |
DeanCare Setting Facility Modifier None Typical Low $147.91 Median $537.03 Typical High $758.58 | Facility | None | $147.91 | $537.03 | $758.58 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $588.84 Typical High $758.58 | Facility | TC · Technical part | $478.63 | $588.84 | $758.58 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $371.54 | Professional | None (both parts) | $245.47 | $331.13 | $371.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $117.49 | $131.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $154.88 | $213.80 | $239.88 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $1,479.11 Typical High $2,511.89 | Facility | None | $158.49 | $1,479.11 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $660.69 Typical High $1,380.38 | Professional | None (both parts) | $223.87 | $660.69 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $213.80 Typical High $302.00 | Professional | 26 · Professional part | $58.88 | $213.80 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $501.19 Typical High $1,318.26 | Professional | TC · Technical part | $154.88 | $501.19 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $426.58 | Facility | None | $208.93 | $208.93 | $426.58 |
Network Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $194.98 | $371.54 | $549.54 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $79.43 | $190.55 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $128.82 | $288.40 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $128.82 Median $257.04 Typical High $302.00 | Facility | None | $128.82 | $257.04 | $302.00 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $776.25 | Professional | None | $144.54 | $295.12 | $776.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $190.55 | $190.55 | $501.19 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $67.61 | $165.96 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $123.03 | $331.13 |
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 $588.84 Median $831.76 Typical High $1,202.26 | Professional | None (both parts) | $588.84 | $831.76 | $1,202.26 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $275.42 | Professional | 26 · Professional part | $165.96 | $194.98 | $275.42 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $933.25 | Professional | TC · Technical part | $416.87 | $512.86 | $933.25 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $1,096.48 | Professional | None (both parts) | $229.09 | $380.19 | $1,096.48 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $245.47 Typical High $323.59 | Professional | 26 · Professional part | $85.11 | $245.47 | $323.59 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $158.49 | $363.08 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $114.82 Typical High $245.47 | Professional | 26 · Professional part | $53.70 | $114.82 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $251.19 Typical High $562.34 | Professional | TC · Technical part | $102.33 | $251.19 | $562.34 |
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 $123.03 Median $123.03 Typical High $1,148.15 | Professional | 52 · Reduced service | $123.03 | $123.03 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $457.09 | Professional | 53 · Discontinued | $48.98 | $48.98 | $457.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $812.83 Typical High $1,905.46 | Professional | 50 · Both sides | $199.53 | $812.83 | $1,905.46 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $724.44 Median $891.25 Typical High $1,122.02 | Facility | 50 · Both sides | $724.44 | $891.25 | $1,122.02 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 80 · Assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 81 · Minimal assistant surgeon | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $95.50 Typical High $120.23 | Facility | 82 · Assistant surgeon, no resident | $75.86 | $95.50 | $120.23 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $67.61 Median $83.18 Typical High $104.71 | Facility | AS · PA/NP assist | $67.61 | $83.18 | $104.71 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $501.19 Typical High $549.54 | Professional | 50 · Both sides | $363.08 | $501.19 | $549.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $53.70 Typical High $58.88 | Professional | 80 · Assistant surgeon | $38.90 | $53.70 | $58.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $53.70 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $38.90 | $53.70 | $58.88 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $53.70 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $53.70 | $58.88 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $46.77 Typical High $51.29 | Professional | AS · PA/NP assist | $33.88 | $46.77 | $51.29 |
Where Wisconsin sits
The same service costs 5.8 times more in Vermont than in Utah. 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· 4th of 51
$372
VT $603UT $105
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.