How much rates vary
Facilitymedian $457 · 10th to 90th $200 to $1,413Professionalmedian $575 · 10th to 90th $263 to $2,089
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 $363.08 Typical High $363.08 | Facility | None | $199.53 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $3,548.13 | Professional | None (both parts) | $363.08 | $363.08 | $3,548.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $1,288.25 | Professional | 26 · Professional part | $74.13 | $107.15 | $1,288.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $263.03 Typical High $295.12 | Professional | TC · Technical part | $245.47 | $263.03 | $295.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $812.83 Typical High $1,905.46 | Professional | None (both parts) | $199.53 | $812.83 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $223.87 Typical High $549.54 | Professional | 26 · Professional part | $56.23 | $223.87 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $588.84 Typical High $1,348.96 | Professional | TC · Technical part | $144.54 | $588.84 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $912.01 | Facility | None | $537.03 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $1,122.02 | Professional | None (both parts) | $288.40 | $338.84 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $281.84 | Professional | 26 · Professional part | $69.18 | $93.33 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $812.83 | Professional | TC · Technical part | $204.17 | $245.47 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $1,174.90 Typical High $1,621.81 | Facility | None | $229.09 | $1,174.90 | $1,621.81 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Facility | TC · Technical part | $1,071.52 | $1,318.26 | $1,659.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $549.54 | Professional | None (both parts) | $363.08 | $501.19 | $549.54 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $144.54 | $158.49 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $263.03 | $354.81 | $426.58 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $389.05 Typical High $2,511.89 | Facility | None | $218.78 | $389.05 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $977.24 Typical High $2,089.30 | Professional | None (both parts) | $331.13 | $977.24 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $245.47 Typical High $380.19 | Professional | 26 · Professional part | $72.44 | $245.47 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $741.31 Typical High $1,737.80 | Professional | TC · Technical part | $257.04 | $741.31 | $1,737.80 |
Network Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $660.69 | Facility | None | $316.23 | $316.23 | $660.69 |
Network Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $295.12 | $575.44 | $812.83 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $229.09 | Professional | 26 · Professional part | $83.18 | $95.50 | $229.09 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $478.63 | $724.44 |
Prevea360 Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $489.78 | Facility | None | $194.98 | $363.08 | $489.78 |
Quartz Setting Professional Modifier None Typical Low $213.80 Median $446.68 Typical High $1,148.15 | Professional | None | $213.80 | $446.68 | $1,148.15 |
Quartz Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $758.58 | Professional | None (both parts) | $288.40 | $288.40 | $758.58 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $83.18 | $204.17 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $204.17 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Security Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,258.93 Typical High $1,862.09 | Professional | None (both parts) | $758.58 | $1,258.93 | $1,862.09 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $223.87 Typical High $338.84 | Professional | 26 · Professional part | $199.53 | $223.87 | $338.84 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $691.83 Typical High $1,513.56 | Professional | TC · Technical part | $575.44 | $691.83 | $1,513.56 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $295.12 Typical High $363.08 | Professional | 26 · Professional part | $102.33 | $295.12 | $363.08 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $549.54 Typical High $1,122.02 | Professional | None (both parts) | $239.88 | $549.54 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $141.25 Typical High $295.12 | Professional | 26 · Professional part | $63.10 | $141.25 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $173.78 | $416.87 | $851.14 |
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 $181.97 Median $181.97 Typical High $1,778.28 | Professional | 52 · Reduced service | $181.97 | $181.97 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $707.95 | Professional | 53 · Discontinued | $74.13 | $74.13 | $707.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $1,230.27 Typical High $2,884.03 | Professional | 50 · Both sides | $295.12 | $1,230.27 | $2,884.03 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,584.89 Median $1,995.26 Typical High $2,511.89 | Facility | 50 · Both sides | $1,584.89 | $1,995.26 | $2,511.89 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 80 · Assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 81 · Minimal assistant surgeon | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $208.93 Typical High $269.15 | Facility | 82 · Assistant surgeon, no resident | $169.82 | $208.93 | $269.15 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $147.91 Median $186.21 Typical High $234.42 | Facility | AS · PA/NP assist | $147.91 | $186.21 | $234.42 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $741.31 Typical High $831.76 | Professional | 50 · Both sides | $549.54 | $741.31 | $831.76 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 80 · Assistant surgeon | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $79.43 | $89.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $69.18 Typical High $77.62 | Professional | AS · PA/NP assist | $51.29 | $69.18 | $77.62 |
Where Wisconsin sits
The same service costs 5.1 times more in Alaska 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· 2nd of 51
$575
AK $776UT $151
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.