How much rates vary
Facilitymedian $646 · 10th to 90th $229 to $3,020Professionalmedian $617 · 10th to 90th $251 to $2,291
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 $467.74 Typical High $467.74 | Facility | None | $199.53 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $3,162.28 | Professional | None (both parts) | $323.59 | $467.74 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $147.91 Typical High $870.96 | Professional | 26 · Professional part | $100.00 | $147.91 | $870.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $323.59 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $812.83 Typical High $1,995.26 | Professional | None (both parts) | $208.93 | $812.83 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $251.19 Typical High $616.60 | Professional | 26 · Professional part | $63.10 | $251.19 | $616.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $562.34 Typical High $1,380.38 | Professional | TC · Technical part | $144.54 | $562.34 | $1,380.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $81.28 | $169.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $954.99 | Facility | None | $562.34 | $645.65 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $1,174.90 | Professional | None (both parts) | $295.12 | $389.05 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $316.23 | Professional | 26 · Professional part | $75.86 | $104.71 | $316.23 |
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 $245.47 Median $1,230.27 Typical High $1,737.80 | Facility | None | $245.47 | $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 $380.19 Median $524.81 Typical High $575.44 | Professional | None (both parts) | $380.19 | $524.81 | $575.44 |
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 $263.03 Median $354.81 Typical High $398.11 | Professional | TC · Technical part | $263.03 | $354.81 | $398.11 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $2,344.23 Typical High $3,467.37 | Facility | None | $389.05 | $2,344.23 | $3,467.37 |
Medica Setting Facility Modifier TC · Technical part Typical Low $1,513.56 Median $2,290.87 Typical High $3,388.44 | Facility | TC · Technical part | $1,513.56 | $2,290.87 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $977.24 Typical High $2,818.38 | Professional | None (both parts) | $354.81 | $977.24 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $295.12 Typical High $562.34 | Professional | 26 · Professional part | $83.18 | $295.12 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $758.58 Typical High $2,454.71 | Professional | TC · Technical part | $251.19 | $758.58 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Facility | None | $331.13 | $331.13 | $562.34 |
Network Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $831.76 Typical High $933.25 | Professional | None (both parts) | $309.03 | $831.76 | $933.25 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $93.33 | $134.90 | $257.04 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $588.84 Typical High $794.33 | Professional | TC · Technical part | $218.78 | $588.84 | $794.33 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $630.96 | Facility | None | $213.80 | $426.58 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $229.09 Median $467.74 Typical High $1,047.13 | Professional | None | $229.09 | $467.74 | $1,047.13 |
Quartz Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $933.25 | Professional | None (both parts) | $295.12 | $295.12 | $933.25 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $93.33 | $223.87 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,659.59 Typical High $2,818.38 | Professional | None (both parts) | $1,412.54 | $1,659.59 | $2,818.38 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $831.76 | Professional | 26 · Professional part | $302.00 | $407.38 | $831.76 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,202.26 Typical High $1,995.26 | Professional | TC · Technical part | $954.99 | $1,202.26 | $1,995.26 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $371.54 Median $724.44 Typical High $1,737.80 | Professional | None (both parts) | $371.54 | $724.44 | $1,737.80 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $323.59 Typical High $489.78 | Professional | 26 · Professional part | $117.49 | $323.59 | $489.78 |
The Alliance Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $562.34 Typical High $1,318.26 | Professional | TC · Technical part | $257.04 | $562.34 | $1,318.26 |
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 $251.19 Median $616.60 Typical High $1,513.56 | Professional | None (both parts) | $251.19 | $616.60 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $173.78 Typical High $323.59 | Professional | 26 · Professional part | $72.44 | $173.78 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $173.78 | $426.58 | $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 $234.42 Median $234.42 Typical High $1,995.26 | Professional | 52 · Reduced service | $234.42 | $234.42 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $812.83 | Professional | 53 · Discontinued | $93.33 | $93.33 | $812.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $309.03 Median $1,230.27 Typical High $3,019.95 | Professional | 50 · Both sides | $309.03 | $1,230.27 | $3,019.95 |
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 $575.44 Median $776.25 Typical High $870.96 | Professional | 50 · Both sides | $575.44 | $776.25 | $870.96 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | 80 · Assistant surgeon | $60.26 | $83.18 | $93.33 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $60.26 | $83.18 | $93.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $83.18 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $83.18 | $93.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $72.44 Typical High $81.28 | Professional | AS · PA/NP assist | $53.70 | $72.44 | $81.28 |
Where Wisconsin sits
The same service costs 13.5 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· 5th of 51
$631
VT $2,089UT $155
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.