How much rates vary
Facilitymedian $617 · 10th to 90th $240 to $1,778Professionalmedian $692 · 10th to 90th $282 to $2,818
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 $512.86 Typical High $512.86 | Facility | None | $199.53 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $3,548.13 | Professional | None (both parts) | $416.87 | $512.86 | $3,548.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $812.83 | Professional | 26 · Professional part | $100.00 | $144.54 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $223.87 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $933.25 Typical High $2,290.87 | Professional | None (both parts) | $223.87 | $933.25 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $251.19 Typical High $616.60 | Professional | 26 · Professional part | $61.66 | $251.19 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $676.08 Typical High $1,862.09 | Professional | TC · Technical part | $162.18 | $676.08 | $1,862.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $81.28 | $194.98 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,047.13 | Facility | None | $616.60 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $1,288.25 | Professional | None (both parts) | $323.59 | $389.05 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $102.33 Typical High $316.23 | Professional | 26 · Professional part | $75.86 | $102.33 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $933.25 | Professional | TC · Technical part | $234.42 | $288.40 | $933.25 |
DeanCare Setting Facility Modifier None Typical Low $257.04 Median $1,230.27 Typical High $1,737.80 | Facility | None | $257.04 | $1,230.27 | $1,737.80 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,380.38 Typical High $1,737.80 | Facility | TC · Technical part | $1,122.02 | $1,380.38 | $1,737.80 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $562.34 Typical High $630.96 | Professional | None (both parts) | $416.87 | $562.34 | $630.96 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $162.18 | $177.83 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $407.38 | $457.09 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $616.60 Typical High $3,467.37 | Facility | None | $251.19 | $616.60 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $1,096.48 Typical High $2,818.38 | Professional | None (both parts) | $446.68 | $1,096.48 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $275.42 Typical High $537.03 | Professional | 26 · Professional part | $81.28 | $275.42 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $891.25 Typical High $2,454.71 | Professional | TC · Technical part | $346.74 | $891.25 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $851.14 | Facility | None | $371.54 | $371.54 | $851.14 |
Network Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $933.25 Typical High $954.99 | Professional | None (both parts) | $346.74 | $933.25 | $954.99 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $257.04 | Professional | 26 · Professional part | $91.20 | $131.83 | $257.04 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $676.08 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $676.08 | $812.83 |
Prevea360 Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $630.96 | Facility | None | $239.88 | $446.68 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $245.47 Median $512.86 Typical High $1,096.48 | Professional | None | $245.47 | $512.86 | $1,096.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $323.59 | $323.59 | $891.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $91.20 | $223.87 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $645.65 | Professional | TC · Technical part | $234.42 | $234.42 | $645.65 |
Security Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,862.09 Typical High $2,398.83 | Professional | None (both parts) | $1,445.44 | $1,862.09 | $2,398.83 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $371.54 | $436.52 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,737.80 Typical High $1,995.26 | Professional | TC · Technical part | $933.25 | $1,737.80 | $1,995.26 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $1,778.28 | Professional | None (both parts) | $398.11 | $645.65 | $1,778.28 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $323.59 Typical High $489.78 | Professional | 26 · Professional part | $114.82 | $323.59 | $489.78 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $575.44 Typical High $1,445.44 | Professional | TC · Technical part | $281.84 | $575.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $676.08 Typical High $1,288.25 | Professional | None (both parts) | $275.42 | $676.08 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $72.44 | $169.82 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $489.78 Typical High $1,122.02 | Professional | TC · Technical part | $199.53 | $489.78 | $1,122.02 |
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 $257.04 Median $257.04 Typical High $1,949.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $776.25 | Professional | 53 · Discontinued | $102.33 | $102.33 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $1,412.54 Typical High $3,388.44 | Professional | 50 · Both sides | $338.84 | $1,412.54 | $3,388.44 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $1,659.59 Median $2,089.30 Typical High $2,630.27 | Facility | 50 · Both sides | $1,659.59 | $2,089.30 | $2,630.27 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 80 · Assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 81 · Minimal assistant surgeon | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $223.87 Typical High $281.84 | Facility | 82 · Assistant surgeon, no resident | $177.83 | $223.87 | $281.84 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $154.88 Median $194.98 Typical High $245.47 | Facility | AS · PA/NP assist | $154.88 | $194.98 | $245.47 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $851.14 Typical High $954.99 | Professional | 50 · Both sides | $630.96 | $851.14 | $954.99 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $91.20 Typical High $102.33 | Professional | 80 · Assistant surgeon | $66.07 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $91.20 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $66.07 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $91.20 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $91.20 | $102.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | AS · PA/NP assist | $58.88 | $79.43 | $89.13 |
Where Wisconsin sits
The same service costs 5.5 times more in Wyoming 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
$676
WY $891UT $162
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.