How much rates vary
Facilitymedian $9,772 · 10th to 90th $1,698 to $16,218Professionalmedian $5,754 · 10th to 90th $1,950 to $9,120
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 $1,698.24 Median $1,698.24 Typical High $14,454.40 | Facility | None | $1,698.24 | $1,698.24 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $21,877.62 | Professional | None | $1,698.24 | $1,698.24 | $21,877.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $12,882.50 Typical High $20,417.38 | Facility | None | $9,549.93 | $12,882.50 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $6,309.57 Typical High $9,549.93 | Professional | None | $2,454.71 | $6,309.57 | $9,549.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,715.35 Median $9,549.93 Typical High $14,125.38 | Professional | 50 · Both sides | $3,715.35 | $9,549.93 | $14,125.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $3,981.07 Typical High $6,025.60 | Professional | 62 · Two surgeons | $1,548.82 | $3,981.07 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $1,023.29 Typical High $1,513.56 | Professional | 80 · Assistant surgeon | $398.11 | $1,023.29 | $1,513.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $891.25 Typical High $1,318.26 | Professional | AS · PA/NP assist | $346.74 | $891.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,128.61 Typical High $7,943.28 | Facility | None | $812.83 | $5,128.61 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $7,413.10 | Professional | None | $3,162.28 | $4,365.16 | $7,413.10 |
DeanCare Setting Facility Modifier None Typical Low $2,187.76 Median $5,623.41 Typical High $10,232.93 | Facility | None | $2,187.76 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $3,548.13 Median $5,248.07 Typical High $6,760.83 | Professional | None | $3,548.13 | $5,248.07 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $5,754.40 Typical High $12,882.50 | Facility | None | $1,412.54 | $5,754.40 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $5,495.41 Typical High $9,549.93 | Professional | None | $2,344.23 | $5,495.41 | $9,549.93 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $9,332.54 Typical High $15,848.93 | Facility | None | $4,073.80 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $5,888.44 | Professional | None | $2,884.03 | $5,011.87 | $5,888.44 |
Prevea360 Setting Facility Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $4,073.80 | Facility | None | $1,659.59 | $2,290.87 | $4,073.80 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $4,466.84 Typical High $8,511.38 | Professional | None | $1,949.84 | $4,466.84 | $8,511.38 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $5,495.41 | Professional | None | $3,388.44 | $3,715.35 | $5,495.41 |
Security Health Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $8,317.64 Typical High $10,000.00 | Professional | None | $3,715.35 | $8,317.64 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,244.36 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,244.36 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $5,128.61 Typical High $8,317.64 | Professional | None | $1,778.28 | $5,128.61 | $8,317.64 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $10,964.78 | Professional | 52 · Reduced service | $831.76 | $831.76 | $10,964.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $4,466.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $4,466.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $16,595.87 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $16,595.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $3,311.31 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $3,311.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $2,187.76 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $15,488.17 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $15,488.17 |
Where Wisconsin sits
The same service costs 8.5 times more in Alaska than in Texas. 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.
Wisconsin· 2nd of 51
$6,310
AK $8,128TX $955
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.