How much rates vary
Facilitymedian $166 · 10th to 90th $69 to $537Professionalmedian $83 · 10th to 90th $55 to $170
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 $66.07 Median $204.17 Typical High $537.03 | Facility | None | $66.07 | $204.17 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $114.82 | Professional | None | $57.54 | $77.62 | $114.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $245.47 | Facility | None | $123.03 | $190.55 | $245.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $75.86 Median $194.98 Typical High $478.63 | Professional | None | $75.86 | $194.98 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | None | $53.70 | $63.10 | $81.28 |
AmeriHealth Setting Facility Modifier None Typical Low $87.10 Median $1,949.84 Typical High $4,265.80 | Facility | None | $87.10 | $1,949.84 | $4,265.80 |
AmeriHealth Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $213.80 | Professional | None | $89.13 | $117.49 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $295.12 | Facility | None | $95.50 | $109.65 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $147.91 | Professional | None | $66.07 | $109.65 | $147.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $204.17 Typical High $407.38 | Facility | None | $50.12 | $204.17 | $407.38 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $91.20 Median $478.63 Typical High $575.44 | Professional | None | $91.20 | $478.63 | $575.44 |
Aultcare Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $123.03 | Professional | None | $54.95 | $54.95 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $1,202.26 | Facility | None | $56.23 | $67.61 | $1,202.26 |
AvMed Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | None | $51.29 | $64.57 | $75.86 |
BCBS Setting Facility Modifier None Typical Low $69.18 Median $194.98 Typical High $446.68 | Facility | None | $69.18 | $194.98 | $446.68 |
BCBS Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $165.96 | Professional | None | $60.26 | $102.33 | $165.96 |
Baylor Scott & White Setting Facility Modifier None Typical Low $72.44 Median $144.54 Typical High $3,890.45 | Facility | None | $72.44 | $144.54 | $3,890.45 |
Baylor Scott & White Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $102.33 | Professional | None | $63.10 | $70.79 | $102.33 |
Blue Shield Setting Facility Modifier None Typical Low $104.71 Median $467.74 Typical High $831.76 | Facility | None | $104.71 | $467.74 | $831.76 |
Blue Shield Setting Professional Modifier None Typical Low $58.88 Median $85.11 Typical High $112.20 | Professional | None | $58.88 | $85.11 | $112.20 |
CDPHP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Capital Blue Cross Setting Facility Modifier None Typical Low $208.93 Median $5,011.87 Typical High $56,234.13 | Facility | None | $208.93 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $123.03 | Professional | None | $64.57 | $100.00 | $123.03 |
CareFirst Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $91.20 | Professional | None | $67.61 | $74.13 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $83.18 | Facility | None | $44.67 | $57.54 | $83.18 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $75.86 | Professional | None | $52.48 | $57.54 | $75.86 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $42.66 Median $102.33 Typical High $102.33 | Professional | None | $42.66 | $102.33 | $102.33 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $309.03 | Facility | None | $93.33 | $173.78 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $134.90 | Professional | None | $53.70 | $79.43 | $134.90 |
Community Health Options Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Community Health Options Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
ConnectiCare Setting Professional Modifier None Typical Low $70.79 Median $204.17 Typical High $204.17 | Professional | None | $70.79 | $204.17 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $28.84 Median $91.20 Typical High $100.00 | Professional | None | $28.84 | $91.20 | $100.00 |
DeanCare Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | None | $56.23 | $72.44 | $128.82 |
DeanCare Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $162.18 | Professional | None | $107.15 | $125.89 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $109.65 | Facility | None | $77.62 | $97.72 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $263.03 | Facility | None | $77.62 | $107.15 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $134.90 | Professional | None | $79.43 | $93.33 | $134.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $120.23 | Facility | None | $44.67 | $83.18 | $120.23 |
Fallon Health Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $120.23 | Professional | None | $44.67 | $77.62 | $120.23 |
Florida Blue Setting Facility Modifier None Typical Low $134.90 Median $138.04 Typical High $138.04 | Facility | None | $134.90 | $138.04 | $138.04 |
Florida Blue Setting Professional Modifier None Typical Low $32.36 Median $69.18 Typical High $85.11 | Professional | None | $32.36 | $69.18 | $85.11 |
Geisinger Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | None | $64.57 | $79.43 | $134.90 |
HMSA Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $251.19 | Professional | None | $57.54 | $83.18 | $251.19 |
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 Typical Low $70.79 Median $72.44 Typical High $79.43 | Professional | None | $70.79 | $72.44 | $79.43 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $208.93 | Professional | None | $79.43 | $147.91 | $208.93 |
Health Alliance Plan Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $524.81 | Facility | None | $79.43 | $204.17 | $524.81 |
Health Alliance Plan Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | None | $69.18 | $79.43 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $707.95 | Facility | None | $134.90 | $346.74 | $707.95 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $269.15 | Facility | None | $138.04 | $147.91 | $269.15 |
Health Partners Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $147.91 | Professional | None | $104.71 | $147.91 | $147.91 |
Health Smart Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $91.20 | Professional | None | $67.61 | $83.18 | $91.20 |
HealthNet Setting Professional Modifier None Typical Low $16,982.44 Median $16,982.44 Typical High $16,982.44 | Professional | None | $16,982.44 | $16,982.44 | $16,982.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $512.86 | Facility | None | $102.33 | $213.80 | $512.86 |
Highmark BCBS Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $131.83 | Professional | None | $69.18 | $75.86 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $67.61 Typical High $91.20 | Professional | None | $0.71 | $67.61 | $91.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $100.00 | Professional | None | $0.71 | $0.71 | $100.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $338.84 | Facility | None | $162.18 | $263.03 | $338.84 |
Horizon BCBS Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $123.03 | Professional | None | $81.28 | $95.50 | $123.03 |
Independence Blue Cross Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $2,884.03 | Facility | None | $66.07 | $138.04 | $2,884.03 |
Independence Blue Cross Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $234.42 | Professional | None | $117.49 | $120.23 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $169.82 | Professional | None | $70.79 | $83.18 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $169.82 | Professional | None | $63.10 | $102.33 | $169.82 |
Lucent Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
MVP Health Care Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $204.17 Typical High $776.25 | Facility | None | $56.23 | $204.17 | $776.25 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $83.18 | Professional | None | $56.23 | $56.23 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $245.47 | Facility | None | $123.03 | $190.55 | $245.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $75.86 Median $194.98 Typical High $478.63 | Professional | None | $75.86 | $194.98 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $125.89 | Professional | None | $87.10 | $109.65 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $123.03 | Facility | None | $64.57 | $77.62 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $141.25 | Professional | None | $48.98 | $72.44 | $141.25 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $363.08 | Facility | None | $69.18 | $131.83 | $363.08 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $131.83 Typical High $446.68 | Professional | None | $63.10 | $131.83 | $446.68 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $107.15 Median $275.42 Typical High $676.08 | Facility | None | $107.15 | $275.42 | $676.08 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | None | $54.95 | $54.95 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $165.96 | Professional | None | $125.89 | $147.91 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $169.82 | Professional | None | $123.03 | $154.88 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $288.40 Typical High $660.69 | Facility | None | $81.28 | $288.40 | $660.69 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $125.89 | Professional | None | $41.69 | $64.57 | $125.89 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $57.54 Typical High $100.00 | Professional | None | $10.23 | $57.54 | $100.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $123.03 | Facility | None | $100.00 | $114.82 | $123.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $120.23 | Professional | None | $97.72 | $117.49 | $120.23 |
Network Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
Network Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $162.18 | Professional | None | $89.13 | $141.25 | $162.18 |
Oscar Health Setting Facility Modifier None Typical Low $724.44 Median $13,489.63 Typical High $34,673.69 | Facility | None | $724.44 | $13,489.63 | $34,673.69 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $158.49 | Professional | None | $66.07 | $120.23 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $138.04 | Facility | None | $77.62 | $120.23 | $138.04 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $48.98 Median $186.21 Typical High $2,187.76 | Facility | None | $48.98 | $186.21 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | None | $70.79 | $87.10 | $120.23 |
Premera BCBS Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $89.13 | Facility | None | $87.10 | $89.13 | $89.13 |
Premera BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $257.04 | Professional | None | $87.10 | $87.10 | $257.04 |
Prevea360 Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $128.82 | Facility | None | $56.23 | $72.44 | $128.82 |
Priority Health Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $128.82 | Professional | None | $47.86 | $75.86 | $128.82 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $100.00 Typical High $165.96 | Facility | None | $69.18 | $100.00 | $165.96 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $123.03 | Professional | None | $53.70 | $77.62 | $123.03 |
Qualchoice Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Quartz Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $234.42 | Professional | None | $74.13 | $147.91 | $234.42 |
Quartz Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $102.33 | Professional | None | $64.57 | $64.57 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $194.98 Typical High $281.84 | Facility | None | $128.82 | $194.98 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $138.04 | Professional | None | $70.79 | $104.71 | $138.04 |
Sanford Health Plan Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | None | $75.86 | $97.72 | $117.49 |
Security Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $346.74 | Professional | None | $87.10 | $134.90 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $70.79 Typical High $251.19 | Facility | None | $61.66 | $70.79 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | None | $52.48 | $67.61 | $120.23 |
Sentara Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $10,232.93 | Facility | None | $57.54 | $89.13 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $144.54 | Professional | None | $69.18 | $95.50 | $144.54 |
SummaCare Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $102.33 | Professional | None | $64.57 | $64.57 | $102.33 |
Sutter Health Plus Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
The Alliance Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $275.42 | Professional | None | $117.49 | $181.97 | $275.42 |
Tufts Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $426.58 | Facility | None | $50.12 | $95.50 | $426.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $263.03 | Professional | None | $57.54 | $91.20 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $61.66 Median $229.09 Typical High $363.08 | Facility | None | $61.66 | $229.09 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
United Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $302.00 | Facility | None | $93.33 | $177.83 | $302.00 |
United Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $117.49 | Professional | None | $52.48 | $72.44 | $117.49 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $162.18 | Facility | None | $69.18 | $79.43 | $162.18 |
Univera Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
University Health Alliance Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $89.13 | Professional | None | $67.61 | $89.13 | $89.13 |
Well Sense Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $104.71 | Facility | None | $50.12 | $70.79 | $104.71 |
Well Sense Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | None | $57.54 | $57.54 | $77.62 |
Wellmark Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | None | $123.03 | $144.54 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | None | $51.29 | $66.07 | $66.07 |
27 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $47.86 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $47.86 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | KX · Policy requirements met | $58.88 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier PD · Before inpatient admission Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | PD · Before inpatient admission | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier Q1 · Research study, routine Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | Q1 · Research study, routine | $60.26 | $60.26 | $67.61 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | Q6 · Substitute physician, paid per time | $61.66 | $61.66 | $63.10 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | XU · Unusual separate service | $85.11 | $85.11 | $85.11 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $141.25 Median $186.21 Typical High $213.80 | Professional | 22 · Increased work | $141.25 | $186.21 | $213.80 |
BCBS Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $79.43 | $79.43 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $23.44 Typical High $33.88 | Professional | 55 · Aftercare only | $18.62 | $23.44 | $33.88 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $93.33 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $67.61 | $93.33 | $100.00 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | 80 · Assistant surgeon | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $20.42 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $20.42 | $25.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $17.78 Typical High $22.39 | Professional | AS · PA/NP assist | $15.14 | $17.78 | $22.39 |
Fidelis Setting Professional Modifier XU · Unusual separate service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | XU · Unusual separate service | $91.20 | $91.20 | $91.20 |
Highmark BCBS Setting Facility Modifier PN · Off-campus dept, non-excepted Typical Low $58.88 Median $109.65 Typical High $371.54 | Facility | PN · Off-campus dept, non-excepted | $58.88 | $109.65 | $371.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $24.55 Median $44.67 Typical High $69.18 | Professional | 51 · Multiple procedures | $24.55 | $44.67 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $17.78 Typical High $28.18 | Professional | 80 · Assistant surgeon | $9.77 | $17.78 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $12.59 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $6.76 | $12.59 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $12.59 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $12.59 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $12.59 Typical High $19.50 | Professional | AS · PA/NP assist | $6.76 | $12.59 | $19.50 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $61.66 Median $81.28 Typical High $104.71 | Professional | 59 · Distinct service | $61.66 | $81.28 | $104.71 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 22 · Increased work | $107.15 | $107.15 | $107.15 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 54 · Surgery only | $67.61 | $67.61 | $67.61 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 63 · Small infant | $107.15 | $107.15 | $107.15 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 78 · Unplanned return to OR | $72.44 | $72.44 | $72.44 |
What it costs in each state
The same service costs 3.0 times more in Alaska 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.
AK $174FL $58.88
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.