How much rates vary
Facilitymedian $195 · 10th to 90th $72 to $724Professionalmedian $224 · 10th to 90th $110 to $1,000
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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Facility | None | $87.10 | $87.10 | $104.71 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
AvMed Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $501.19 | Facility | None | $57.54 | $72.44 | $501.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $57.54 | $74.13 | $151.36 |
BCBS Arkansas Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Facility | None | $72.44 | $72.44 | $100.00 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $117.49 | $134.90 | $169.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $52.48 | $67.61 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $70.79 | $81.28 | $104.71 |
BCBS Illinois Setting Facility Modifier None Typical Low $309.03 Median $588.84 Typical High $1,412.54 | Facility | None | $309.03 | $588.84 | $1,412.54 |
BCBS Kansas City Setting Facility Modifier None Typical Low $138.04 Median $257.04 Typical High $645.65 | Facility | None | $138.04 | $257.04 | $645.65 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $489.78 | Professional | None (both parts) | $141.25 | $144.54 | $489.78 |
BCBS Minnesota Setting Facility Modifier None Typical Low $1.00 Median $707.95 Typical High $1,288.25 | Facility | None | $1.00 | $707.95 | $1,288.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $63.10 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $63.10 | $109.65 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $69.18 Typical High $141.25 | Facility | None | $42.66 | $69.18 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $42.66 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $42.66 | $75.86 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $416.87 Typical High $1,174.90 | Facility | None | $323.59 | $416.87 | $1,174.90 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $371.54 | Facility | 26 · Professional part | $120.23 | $141.25 | $371.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $630.96 | Facility | TC · Technical part | $204.17 | $239.88 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $186.21 | $239.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $177.83 | $346.74 |
DeanCare Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $234.42 | Facility | None | $112.20 | $131.83 | $234.42 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $251.19 | $302.00 | $331.13 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $120.23 | $125.89 | $245.47 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $39.81 | $72.44 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $91.20 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $616.60 | Professional | None | $117.49 | $169.82 | $616.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $239.88 | Professional | 26 · Professional part | $45.71 | $69.18 | $239.88 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $354.81 | Professional | TC · Technical part | $69.18 | $102.33 | $354.81 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $154.88 | Professional | None (both parts) | $141.25 | $144.54 | $154.88 |
Health New England Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $912.01 | Facility | None | $831.76 | $891.25 | $912.01 |
Health New England Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $63.10 | $83.18 | $114.82 |
Health Partners Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $954.99 | Facility | None | $257.04 | $407.38 | $954.99 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $354.81 | Facility | 26 · Professional part | $95.50 | $151.36 | $354.81 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $257.04 Typical High $602.56 | Facility | TC · Technical part | $158.49 | $257.04 | $602.56 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $501.19 | Professional | None (both parts) | $181.97 | $181.97 | $501.19 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $67.61 | $134.90 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $114.82 | $398.11 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $138.04 | $154.88 | $309.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $77.62 Median $616.60 Typical High $9,772.37 | Facility | None | $77.62 | $616.60 | $9,772.37 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $125.89 | $144.54 | $302.00 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $50.12 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $93.33 | $177.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Independence Blue Cross Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $169.82 | $169.82 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $446.68 Typical High $741.31 | Professional | None | $204.17 | $446.68 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $120.23 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $151.36 | $323.59 | $741.31 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $257.04 | Facility | None | $107.15 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $151.36 | $151.36 | $302.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $58.88 | $83.18 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $102.33 | $147.91 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $363.08 | Professional | None | $288.40 | $309.03 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $141.25 | $204.17 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $60.26 | $109.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $144.54 | $190.55 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $218.78 Typical High $870.96 | Facility | None | $104.71 | $218.78 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $977.24 | Professional | None (both parts) | $125.89 | $245.47 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $89.13 Typical High $281.84 | Professional | 26 · Professional part | $39.81 | $89.13 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $154.88 Typical High $776.25 | Professional | TC · Technical part | $77.62 | $154.88 | $776.25 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $75.86 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $75.86 | $281.84 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $229.09 | $269.15 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $109.65 | $162.18 | $288.40 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $309.03 | Facility | None | $138.04 | $204.17 | $309.03 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Network Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $251.19 | Facility | None | $186.21 | $186.21 | $251.19 |
Network Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $173.78 | $309.03 | $478.63 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $46.77 | $107.15 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $239.88 | Facility | None | $72.44 | $144.54 | $239.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $323.59 Median $912.01 Typical High $2,187.76 | Facility | None | $323.59 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $128.82 | $165.96 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $63.10 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $79.43 | $102.33 | $144.54 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $165.96 | $165.96 | $489.78 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $177.83 | Professional | 26 · Professional part | $60.26 | $60.26 | $177.83 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $102.33 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $234.42 | Facility | None | $112.20 | $131.83 | $234.42 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $616.60 | Facility | None | $257.04 | $346.74 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $208.93 | $269.15 | $346.74 |
SummaCare Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Sutter Health Plus Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $354.81 Median $758.58 Typical High $933.25 | Professional | None (both parts) | $354.81 | $758.58 | $933.25 |
Tufts Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $120.23 | $186.21 | $269.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $158.49 | Facility | None | $114.82 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $114.82 | $158.49 | $158.49 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $43.65 | $52.48 | $52.48 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $72.44 | $107.15 | $107.15 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Facility | None | $831.76 | $831.76 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $117.49 | $138.04 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $131.83 | Professional | 26 · Professional part | $33.11 | $46.77 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $97.72 | $239.88 |
Univera Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $194.98 | $223.87 | $380.19 |
University Health Alliance Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $67.61 | $77.62 | $91.20 |
University Health Alliance Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $144.54 | $302.00 |
8 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 |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $91.20 Median $251.19 Typical High $467.74 | Professional | GL · Free upgrade | $91.20 | $251.19 | $467.74 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $67.61 | $79.43 | $120.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $309.03 Typical High $501.19 | Professional | 50 · Both sides | $269.15 | $309.03 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $102.33 Typical High $169.82 | Professional | 51 · Multiple procedures | $89.13 | $102.33 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $40.74 Typical High $67.61 | Professional | 80 · Assistant surgeon | $36.31 | $40.74 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $25.12 | $28.84 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $28.84 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $28.84 Typical High $46.77 | Professional | AS · PA/NP assist | $25.12 | $28.84 | $46.77 |
What it costs in each state
The same service costs 13.5 times more in California than in Florida. 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.
Touch or drag across the chart to see any state's rate.
CA $1,000FL $74.13
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.