How much rates vary
Facilitymedian $692 · 10th to 90th $525 to $1,950Professionalmedian $692 · 10th to 90th $537 to $3,311
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $2,137.96 | Facility | None | $645.65 | $1,258.93 | $2,137.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Facility | None | $309.03 | $309.03 | $371.54 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
AvMed Setting Professional Modifier None (both parts) Typical Low $489.78 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $489.78 | $602.56 | $602.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
BCBS Illinois Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $3,801.89 | Facility | None | $977.24 | $1,584.89 | $3,801.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
BCBS Minnesota Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,071.52 | Facility | None | $645.65 | $1,000.00 | $1,071.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,412.54 | $1,412.54 | $1,659.59 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $645.65 | Facility | None | $354.81 | $371.54 | $645.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $354.81 | $380.19 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $1,737.80 | Facility | None | $660.69 | $812.83 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $645.65 | $707.95 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $891.25 | Facility | None | $575.44 | $630.96 | $891.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $776.25 Median $870.96 Typical High $933.25 | Professional | None (both parts) | $776.25 | $870.96 | $933.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $741.31 | Professional | None (both parts) | $380.19 | $501.19 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $660.69 Typical High $1,445.44 | Professional | None | $199.53 | $660.69 | $1,445.44 |
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 Partners Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $2,398.83 | Facility | None | $645.65 | $724.44 | $2,398.83 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $645.65 | $645.65 | $645.65 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,456.54 | Facility | None | $5,888.44 | $5,888.44 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $954.99 | Professional | None | $416.87 | $602.56 | $954.99 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $691.83 | $691.83 | $707.95 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $407.38 | $489.78 | $707.95 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $1,071.52 | Facility | None | $489.78 | $616.60 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $588.84 Median $707.95 Typical High $3,311.31 | Professional | None (both parts) | $588.84 | $707.95 | $3,311.31 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Midlands Setting Professional Modifier None (both parts) Typical Low $467.74 Median $933.25 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $933.25 | $1,348.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $758.58 Typical High $851.14 | Professional | None (both parts) | $70.79 | $758.58 | $851.14 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $489.78 Median $524.81 Typical High $741.31 | Facility | None | $489.78 | $524.81 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Network Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Network Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $1,230.27 | Professional | None (both parts) | $512.86 | $512.86 | $1,230.27 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $891.25 | $1,148.15 | $1,148.15 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $831.76 Typical High $851.14 | Facility | None | $616.60 | $831.76 | $851.14 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $562.34 Median $954.99 Typical High $2,187.76 | Facility | None | $562.34 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $457.09 | $602.56 | $1,047.13 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $891.25 | Facility | None | $575.44 | $630.96 | $891.25 |
Prevea360 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 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | None (both parts) | $645.65 | $645.65 | $794.33 |
Providence Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $676.08 | $676.08 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $426.58 | $630.96 | $794.33 |
Univera Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Facility | None | $512.86 | $537.03 | $537.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $295.12 | $537.03 | $537.03 |
University Health Alliance Setting Professional Modifier None (both parts) Typical Low $758.58 Median $794.33 Typical High $1,047.13 | Professional | None (both parts) | $758.58 | $794.33 | $1,047.13 |
16 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $162.18 | $194.98 | $269.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $741.31 Typical High $870.96 | Professional | 50 · Both sides | $575.44 | $741.31 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | 51 · Multiple procedures | $190.55 | $245.47 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $97.72 Typical High $117.49 | Professional | 80 · Assistant surgeon | $77.62 | $97.72 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $53.70 | $69.18 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $69.18 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | AS · PA/NP assist | $53.70 | $69.18 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $245.47 | $295.12 | $407.38 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 22 · Increased work | $794.33 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 62 · Two surgeons | $446.68 | $446.68 | $446.68 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 63 · Small infant | $794.33 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 66 · Surgical team Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 66 · Surgical team | $323.59 | $323.59 | $323.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
What it costs in each state
The same service costs 8.7 times more in Washington than in Kentucky. 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.
WA $3,311KY $380
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.