How much rates vary
Facilitymedian $1,202 · 10th to 90th $282 to $3,548Professionalmedian $1,549 · 10th to 90th $646 to $4,898
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 $645.65 Median $1,905.46 Typical High $14,454.40 | Facility | None | $645.65 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,943.28 | Professional | None | $645.65 | $645.65 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $2,398.83 Typical High $4,897.79 | Professional | None | $630.96 | $2,398.83 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $380.19 Typical High $794.33 | Professional | 80 · Assistant surgeon | $100.00 | $380.19 | $794.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $331.13 Typical High $691.83 | Professional | AS · PA/NP assist | $89.13 | $331.13 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $2,691.53 | Facility | None | $758.58 | $1,737.80 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,174.90 | $3,090.30 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $7,943.28 Typical High $14,791.08 | Facility | None | $724.44 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,412.54 | $2,041.74 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $229.09 Typical High $331.13 | Professional | 80 · Assistant surgeon | $186.21 | $229.09 | $331.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $199.53 Typical High $288.40 | Professional | AS · PA/NP assist | $162.18 | $199.53 | $288.40 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,778.28 | Facility | None | $234.42 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $5,011.87 | Professional | None | $724.44 | $1,445.44 | $5,011.87 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,344.23 | Facility | None | $831.76 | $1,000.00 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $2,951.21 | Professional | None | $812.83 | $933.25 | $2,951.21 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,348.96 | Facility | None | $602.56 | $724.44 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,348.96 Typical High $2,818.38 | Professional | None | $660.69 | $1,348.96 | $2,818.38 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $2,691.53 | Facility | None | $645.65 | $954.99 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,174.90 | $1,479.11 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $4,786.30 | Professional | None | $2,398.83 | $4,265.80 | $4,786.30 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,380.38 Typical High $3,162.28 | Professional | None | $691.83 | $1,380.38 | $3,162.28 |
8 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 $323.59 Median $323.59 Typical High $3,890.45 | Professional | 52 · Reduced service | $323.59 | $323.59 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $1,584.89 | Professional | 53 · Discontinued | $128.82 | $128.82 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $5,888.44 | Professional | 54 · Surgery only | $489.78 | $489.78 | $5,888.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $1,174.90 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $794.33 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $794.33 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | 62 · Two surgeons | $724.44 | $891.25 | $1,288.25 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $229.09 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $186.21 | $229.09 | $331.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $229.09 Typical High $331.13 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $229.09 | $331.13 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Utah. 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· 3rd of 51
$1,514
AK $2,754UT $589
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.