How much rates vary
Facilitymedian $148 · 10th to 90th $54 to $646Professionalmedian $135 · 10th to 90th $59 to $661
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 $72.44 Median $72.44 Typical High $199.53 | Facility | None | $72.44 | $72.44 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $741.31 | Professional | None (both parts) | $72.44 | $72.44 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $575.44 | Professional | 26 · Professional part | $45.71 | $45.71 | $575.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $45.71 | Professional | TC · Technical part | $25.70 | $26.30 | $45.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $46.77 | $173.78 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $109.65 Typical High $275.42 | Professional | 26 · Professional part | $29.51 | $109.65 | $275.42 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $69.18 Median $257.04 Typical High $707.95 | Professional | 50 · Both sides | $69.18 | $257.04 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $67.61 Typical High $199.53 | Professional | TC · Technical part | $16.98 | $67.61 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $21.38 | $45.71 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $218.78 | Facility | None | $128.82 | $147.91 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $199.53 | Professional | None (both parts) | $69.18 | $83.18 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $48.98 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $95.50 | Professional | TC · Technical part | $25.12 | $31.62 | $95.50 |
DeanCare Setting Facility Modifier None Typical Low $53.70 Median $588.84 Typical High $794.33 | Facility | None | $53.70 | $588.84 | $794.33 |
DeanCare Setting Facility Modifier 50 · Both sides Typical Low $758.58 Median $954.99 Typical High $1,202.26 | Facility | 50 · Both sides | $758.58 | $954.99 | $1,202.26 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $630.96 Typical High $794.33 | Facility | TC · Technical part | $512.86 | $630.96 | $794.33 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $190.55 | Professional | None (both parts) | $85.11 | $89.13 | $190.55 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $60.26 | $109.65 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $128.82 Median $134.90 Typical High $288.40 | Professional | 50 · Both sides | $128.82 | $134.90 | $288.40 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $81.28 | Professional | TC · Technical part | $30.90 | $34.67 | $81.28 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $93.33 Typical High $269.15 | Facility | None | $44.67 | $93.33 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $223.87 Typical High $660.69 | Professional | None (both parts) | $72.44 | $223.87 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $138.04 Typical High $338.84 | Professional | 26 · Professional part | $42.66 | $138.04 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $100.00 Typical High $407.38 | Professional | TC · Technical part | $28.84 | $100.00 | $407.38 |
Network Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $194.98 | Facility | None | $74.13 | $74.13 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $67.61 | $169.82 | $204.17 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $97.72 | $123.03 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $24.55 | $74.13 | $87.10 |
Prevea360 Setting Facility Modifier None Typical Low $42.66 Median $53.70 Typical High $117.49 | Facility | None | $42.66 | $53.70 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $53.70 Median $114.82 Typical High $239.88 | Professional | None | $53.70 | $114.82 | $239.88 |
Quartz Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $181.97 | Professional | None (both parts) | $69.18 | $69.18 | $181.97 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $43.65 | $104.71 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $66.07 | Professional | TC · Technical part | $25.12 | $25.12 | $66.07 |
Security Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Security Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $251.19 | $302.00 | $549.54 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $309.03 | Professional | 26 · Professional part | $131.83 | $154.88 | $309.03 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $112.20 | $234.42 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
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 $53.70 Median $128.82 Typical High $302.00 | Professional | None (both parts) | $53.70 | $128.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $33.88 | $75.86 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $52.48 Typical High $151.36 | Professional | TC · Technical part | $21.38 | $52.48 | $151.36 |
10 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 $36.31 Median $36.31 Typical High $363.08 | Professional | 52 · Reduced service | $36.31 | $36.31 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $147.91 | Professional | 53 · Discontinued | $14.45 | $14.45 | $147.91 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 80 · Assistant surgeon | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 81 · Minimal assistant surgeon | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $100.00 Typical High $128.82 | Facility | 82 · Assistant surgeon, no resident | $81.28 | $100.00 | $128.82 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $70.79 Median $89.13 Typical High $112.20 | Facility | AS · PA/NP assist | $70.79 | $89.13 | $112.20 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $14.45 Typical High $30.20 | Professional | 80 · Assistant surgeon | $13.49 | $14.45 | $30.20 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $14.45 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $13.49 | $14.45 | $30.20 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $14.45 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $14.45 | $30.20 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.59 Typical High $26.92 | Professional | AS · PA/NP assist | $12.02 | $12.59 | $26.92 |
Where Wisconsin sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 3rd of 51
$138
AK $151TX $39.81
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.