How much rates vary
Facilitymedian $76 · 10th to 90th $8 to $6,607Professionalmedian $15 · 10th to 90th $1 to $120
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 $8.32 Median $61.66 Typical High $97.72 | Facility | None | $8.32 | $61.66 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
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 $91.20 Median $120.23 Typical High $2,511.89 | Professional | None (both parts) | $91.20 | $120.23 | $2,511.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.24 Median $32.36 Typical High $48.98 | Facility | None | $7.24 | $32.36 | $48.98 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $20.89 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $20.89 | $23.99 | $43.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Michigan Setting Facility Modifier None Typical Low $173.78 Median $354.81 Typical High $660.69 | Facility | None | $173.78 | $354.81 | $660.69 |
BCBS Mississippi Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $223.87 | Facility | None | $199.53 | $199.53 | $223.87 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
BCBS North Dakota Setting Facility Modifier None Typical Low $11.75 Median $30.20 Typical High $54.95 | Facility | None | $11.75 | $30.20 | $54.95 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
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 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $40.74 Typical High $64.57 | Facility | None | $10.47 | $40.74 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1.29 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $1.29 | $15.14 | $15.14 |
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 Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $346.74 | Professional | None | $100.00 | $151.36 | $346.74 |
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 $162.18 Median $407.38 Typical High $446.68 | Facility | None | $162.18 | $407.38 | $446.68 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $151.36 | $177.83 | $213.80 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $85.11 Typical High $199.53 | Professional | None (both parts) | $36.31 | $85.11 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $407.38 Typical High $831.76 | Professional | None | $28.84 | $407.38 | $831.76 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Facility | None | $54.95 | $54.95 | $64.57 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $1,258.93 | Professional | None (both parts) | $28.18 | $32.36 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $8.91 Median $100.00 Typical High $151.36 | Facility | None | $8.91 | $100.00 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.05 Median $91.20 Typical High $245.47 | Professional | None (both parts) | $19.05 | $91.20 | $245.47 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Medical Mutual of Ohio Setting Professional Modifier None (both parts) Typical Low $1.29 Median $1.29 Typical High $15.14 | Professional | None (both parts) | $1.29 | $1.29 | $15.14 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $60.26 Typical High $251.19 | Professional | None (both parts) | $13.49 | $60.26 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $81.28 | Professional | None (both parts) | $30.20 | $30.20 | $81.28 |
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 |
Pacific Source Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None (both parts) | $6,606.93 | $6,606.93 | $6,606.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,290.87 | Facility | None | $912.01 | $2,089.30 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.02 Typical High $245.47 | Professional | None (both parts) | $0.02 | $0.02 | $245.47 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $1.29 Median $1.29 Typical High $15.14 | Professional | None (both parts) | $1.29 | $1.29 | $15.14 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $2,691,534.80 | Facility | None | $38.90 | $38.90 | $2,691,534.80 |
Providence Setting Professional Modifier None (both parts) Typical Low $1.29 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $1.29 | $15.14 | $15.14 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1.29 Median $1.29 Typical High $15.14 | Professional | None (both parts) | $1.29 | $1.29 | $15.14 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,011.87 | Facility | None | $4,265.80 | $4,265.80 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $5,011.87 Typical High $6,309.57 | Professional | None (both parts) | $2,511.89 | $5,011.87 | $6,309.57 |
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 |
Sentara Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $10,232.93 Typical High $11,481.54 | Professional | None (both parts) | $1,288.25 | $10,232.93 | $11,481.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $954.99 Typical High $1,548.82 | Facility | None | $194.98 | $954.99 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $177.83 | Professional | None (both parts) | $50.12 | $64.57 | $177.83 |
Univera Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | None | $0.10 | $0.10 | $0.10 |
Univera Setting Professional Modifier None (both parts) Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None (both parts) | $0.10 | $0.10 | $0.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
11 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.02 Median $0.02 Typical High $0.03 | Professional | UE · Used equipment | $0.02 | $0.02 | $0.03 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | 50 · Both sides | $58,884.37 | $58,884.37 | $58,884.37 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $28.18 | Professional | 26 · Professional part | $11.22 | $12.88 | $28.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $47.86 Typical High $134.90 | Professional | 50 · Both sides | $41.69 | $47.86 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $15.85 Typical High $44.67 | Professional | 51 · Multiple procedures | $14.13 | $15.85 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $6.46 Typical High $18.20 | Professional | 80 · Assistant surgeon | $5.62 | $6.46 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $4.47 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $3.89 | $4.47 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $4.47 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $4.47 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $4.47 Typical High $12.59 | Professional | AS · PA/NP assist | $3.89 | $4.47 | $12.59 |
Medcost Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $19.05 | $41.69 |
What it costs in each state
The same service costs 147.9 times more in Mississippi than in Washington, DC. 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.
MS $191DC $1.29
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.