How much rates vary
Facilitymedian $72 · 10th to 90th $30 to $229Professionalmedian $50 · 10th to 90th $25 to $759
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 $14.79 Median $1,412.54 Typical High $1,862.09 | Facility | None | $14.79 | $1,412.54 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $6,309.57 Typical High $10,471.29 | Professional | None (both parts) | $3,235.94 | $6,309.57 | $10,471.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $46.77 | Facility | None | $29.51 | $29.51 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.03 Typical High $120.23 | Professional | None (both parts) | $0.02 | $0.03 | $120.23 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $169.82 | Facility | None | $79.43 | $95.50 | $169.82 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $10,964.78 | $10,964.78 | $10,964.78 |
BCBS Alabama Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $38.90 Median $169.82 Typical High $251.19 | Facility | None | $38.90 | $169.82 | $251.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None (both parts) | $30.90 | $30.90 | $37.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $33.88 | Facility | None | $23.44 | $23.44 | $33.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $39.81 Median $89.13 Typical High $229.09 | Facility | None | $39.81 | $89.13 | $229.09 |
BCBS Illinois Setting Facility Modifier None Typical Low $37.15 Median $41.69 Typical High $50.12 | Facility | None | $37.15 | $41.69 | $50.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $23.99 Median $40.74 Typical High $57.54 | Facility | None | $23.99 | $40.74 | $57.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $41.69 | Facility | None | $26.92 | $30.90 | $41.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $109.65 | Facility | None | $32.36 | $60.26 | $109.65 |
BCBS Mississippi Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
BCBS Nebraska Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $245.47 | Facility | None | $91.20 | $120.23 | $245.47 |
BCBS New Mexico Setting Facility Modifier None Typical Low $77.62 Median $269.15 Typical High $426.58 | Facility | None | $77.62 | $269.15 | $426.58 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $23.44 Median $61.66 Typical High $190.55 | Facility | None | $23.44 | $61.66 | $190.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $223.87 Typical High $323.59 | Facility | None | $102.33 | $223.87 | $323.59 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None (both parts) | $7.94 | $7.94 | $7.94 |
BCBS Texas Setting Facility Modifier None Typical Low $28.84 Median $69.18 Typical High $125.89 | Facility | None | $28.84 | $69.18 | $125.89 |
Blue Shield Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $128.82 | Facility | None | $47.86 | $79.43 | $128.82 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $53.70 | $83.18 | $173.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None (both parts) | $58,884.37 | $58,884.37 | $58,884.37 |
CareSource Setting Facility Modifier None Typical Low $81,283.05 Median $81,283.05 Typical High $81,283.05 | Facility | None | $81,283.05 | $81,283.05 | $81,283.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $81,283.05 Typical High $87,096.36 | Professional | None (both parts) | $19.05 | $81,283.05 | $87,096.36 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $13.80 | $100.00 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
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 |
Health Alliance Plan Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $77.62 | Facility | None | $66.07 | $70.79 | $77.62 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $25.70 | $30.20 | $35.48 |
Health New England Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $239.88 | $239.88 | $251.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $28.18 | $53.70 | $77.62 |
Horizon BCBS Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $134.90 | Facility | None | $64.57 | $97.72 | $134.90 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $208.93 Typical High $831.76 | Professional | None | $19.05 | $208.93 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | None (both parts) | $10,964.78 | $10,964.78 | $10,964.78 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $46.77 | Facility | None | $29.51 | $29.51 | $46.77 |
Medcost Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $29.51 | $29.51 | $53.70 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $58.88 Typical High $81.28 | Facility | None | $30.20 | $58.88 | $81.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $23.99 Median $602.56 Typical High $10,964.78 | Professional | None (both parts) | $23.99 | $602.56 | $10,964.78 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $12.59 Median $60.26 Typical High $3,981.07 | Professional | None (both parts) | $12.59 | $60.26 | $3,981.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $30.20 Typical High $64.57 | Professional | None (both parts) | $19.95 | $30.20 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Pacific Source Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Providence Setting Facility Modifier None Typical Low $1,659,586.91 Median $1,659,586.91 Typical High $1,659,586.91 | Facility | None | $1,659,586.91 | $1,659,586.91 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $114.82 | Facility | None | $47.86 | $77.62 | $114.82 |
Sanford Health Plan Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $5,011.87 | Facility | None | $51.29 | $95.50 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $19.05 Median $5,011.87 Typical High $5,128.61 | Professional | None (both parts) | $19.05 | $5,011.87 | $5,128.61 |
Sentara Setting Facility Modifier None Typical Low $7,413.10 Median $10,232.93 Typical High $11,481.54 | Facility | None | $7,413.10 | $10,232.93 | $11,481.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.27 Median $7.08 Typical High $11.48 | Facility | None | $4.27 | $7.08 | $11.48 |
United Setting Facility Modifier None Typical Low $37.15 Median $70.79 Typical High $120.23 | Facility | None | $37.15 | $70.79 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None (both parts) | $34.67 | $34.67 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $5,754.40 | Facility | None | $2,511.89 | $3,630.78 | $5,754.40 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,388.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
14 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 |
|---|---|---|---|---|---|
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | 26 · Professional part | $6.31 | $6.31 | $7.59 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | TC · Technical part | $24.55 | $24.55 | $29.51 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | TC · Technical part | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.79 Median $14.79 Typical High $26.92 | Professional | 51 · Multiple procedures | $14.79 | $14.79 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.03 Median $6.03 Typical High $10.72 | Professional | 80 · Assistant surgeon | $6.03 | $6.03 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.17 Median $4.17 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $4.17 | $4.17 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.17 Median $4.17 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $4.17 | $4.17 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.17 Median $4.17 Typical High $7.59 | Professional | AS · PA/NP assist | $4.17 | $4.17 | $7.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $17.78 | $32.36 |
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $57.54 Median $57.54 Typical High $93.33 | Facility | CSTM-00 | $57.54 | $57.54 | $93.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 26 · Professional part | $0.02 | $0.02 | $0.02 |
What it costs in each state
The same service costs 912.0 times more in Wisconsin than in Indiana. 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.
WI $10,965IN $12.02
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.