How much rates vary
Facilitymedian $7,586 · 10th to 90th $2,089 to $14,454Professionalmedian $5,623 · 10th to 90th $2,089 to $15,488
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 $2,089.30 Median $8,317.64 Typical High $14,454.40 | Facility | None | $2,089.30 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $21,379.62 | Professional | None | $2,089.30 | $2,089.30 | $21,379.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $8,128.31 Typical High $16,218.10 | Professional | None | $2,089.30 | $8,128.31 | $16,218.10 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $1,318.26 Typical High $2,570.40 | Professional | 80 · Assistant surgeon | $338.84 | $1,318.26 | $2,570.40 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $1,148.15 Typical High $2,238.72 | Professional | AS · PA/NP assist | $295.12 | $1,148.15 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $6,309.57 Typical High $10,232.93 | Facility | None | $1,023.29 | $6,309.57 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $10,000.00 | Professional | None | $3,467.37 | $3,801.89 | $10,000.00 |
DeanCare Setting Facility Modifier None Typical Low $2,344.23 Median $7,762.47 Typical High $14,125.38 | Facility | None | $2,344.23 | $7,762.47 | $14,125.38 |
DeanCare Setting Professional Modifier None Typical Low $3,715.35 Median $4,570.88 Typical High $6,606.93 | Professional | None | $3,715.35 | $4,570.88 | $6,606.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | 80 · Assistant surgeon | $588.84 | $724.44 | $1,047.13 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $524.81 Median $645.65 Typical High $912.01 | Professional | AS · PA/NP assist | $524.81 | $645.65 | $912.01 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $5,754.40 Typical High $12,882.50 | Facility | None | $1,148.15 | $5,754.40 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $5,754.40 Typical High $22,387.21 | Professional | None | $2,344.23 | $5,754.40 | $22,387.21 |
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 $2,630.27 Median $5,248.07 Typical High $6,456.54 | Professional | None | $2,630.27 | $5,248.07 | $6,456.54 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $4,365.16 | Facility | None | $1,949.84 | $2,511.89 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $4,677.35 Typical High $9,120.11 | Professional | None | $2,041.74 | $4,677.35 | $9,120.11 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $6,456.54 Typical High $10,471.29 | Facility | None | $812.83 | $6,456.54 | $10,471.29 |
Quartz Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,801.89 | $3,801.89 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $10,964.78 Typical High $15,135.61 | Professional | None | $6,760.83 | $10,964.78 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $4,570.88 Typical High $10,715.19 | Professional | None | $2,238.72 | $4,570.88 | $10,715.19 |
12 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 $1,047.13 Median $1,047.13 Typical High $10,715.19 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $10,715.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $4,265.80 | Professional | 53 · Discontinued | $416.87 | $416.87 | $4,265.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $15,848.93 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $15,848.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $3,162.28 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $3,162.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $2,137.96 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $14,791.08 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $14,791.08 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,862.09 Median $2,290.87 Typical High $3,311.31 | Professional | 51 · Multiple procedures | $1,862.09 | $2,290.87 | $3,311.31 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,630.78 Typical High $5,248.07 | Professional | 54 · Surgery only | $2,951.21 | $3,630.78 | $5,248.07 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $912.01 Typical High $1,318.26 | Professional | 55 · Aftercare only | $741.31 | $912.01 | $1,318.26 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $3,801.89 Typical High $5,495.41 | Professional | 78 · Unplanned return to OR | $3,090.30 | $3,801.89 | $5,495.41 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | 81 · Minimal assistant surgeon | $588.84 | $724.44 | $1,047.13 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | 82 · Assistant surgeon, no resident | $588.84 | $724.44 | $1,047.13 |
Where Wisconsin sits
The same service costs 21.9 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
$6,457
AK $8,710TX $398
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.