How much rates vary
Facilitymedian $7,586 · 10th to 90th $2,188 to $14,454Professionalmedian $5,888 · 10th to 90th $2,239 to $16,596
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 $2,187.76 Median $8,317.64 Typical High $14,454.40 | Facility | None | $2,187.76 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $22,387.21 | Professional | None | $2,187.76 | $2,187.76 | $22,387.21 |
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 $2,238.72 Median $8,128.31 Typical High $16,982.44 | Professional | None | $2,238.72 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $5,128.61 Typical High $10,715.19 | Professional | 62 · Two surgeons | $1,412.54 | $5,128.61 | $10,715.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $1,318.26 Typical High $2,754.23 | Professional | 80 · Assistant surgeon | $354.81 | $1,318.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $1,122.02 Typical High $2,398.83 | Professional | AS · PA/NP assist | $309.03 | $1,122.02 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $6,760.83 Typical High $10,232.93 | Facility | None | $1,023.29 | $6,760.83 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $10,471.29 | Professional | None | $3,630.78 | $3,981.07 | $10,471.29 |
DeanCare Setting Facility Modifier None Typical Low $2,454.71 Median $7,762.47 Typical High $14,125.38 | Facility | None | $2,454.71 | $7,762.47 | $14,125.38 |
DeanCare Setting Professional Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $6,918.31 | Professional | None | $3,890.45 | $4,786.30 | $6,918.31 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $2,454.71 Median $3,019.95 Typical High $4,365.16 | Professional | 62 · Two surgeons | $2,454.71 | $3,019.95 | $4,365.16 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $630.96 Median $776.25 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $630.96 | $776.25 | $1,122.02 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $549.54 Median $676.08 Typical High $977.24 | Professional | AS · PA/NP assist | $549.54 | $676.08 | $977.24 |
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 $2,511.89 Median $6,165.95 Typical High $21,379.62 | Professional | None | $2,511.89 | $6,165.95 | $21,379.62 |
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 $2,754.23 Median $5,495.41 Typical High $6,760.83 | Professional | None | $2,754.23 | $5,495.41 | $6,760.83 |
Prevea360 Setting Facility Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $4,677.35 | Facility | None | $2,041.74 | $2,630.27 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $5,128.61 Typical High $9,549.93 | Professional | None | $2,238.72 | $5,128.61 | $9,549.93 |
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 $3,981.07 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,981.07 | $3,981.07 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $11,748.98 Typical High $15,848.93 | Professional | None | $6,918.31 | $11,748.98 | $15,848.93 |
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 $2,398.83 Median $4,570.88 Typical High $11,220.18 | Professional | None | $2,398.83 | $4,570.88 | $11,220.18 |
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 $1,096.48 Median $1,096.48 Typical High $11,220.18 | Professional | 52 · Reduced service | $1,096.48 | $1,096.48 | $11,220.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $4,466.84 | Professional | 53 · Discontinued | $436.52 | $436.52 | $4,466.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,659.59 Typical High $16,982.44 | Professional | 54 · Surgery only | $1,659.59 | $1,659.59 | $16,982.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $331.13 Typical High $3,388.44 | Professional | 55 · Aftercare only | $331.13 | $331.13 | $3,388.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $2,238.72 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,548.82 Typical High $15,848.93 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,548.82 | $15,848.93 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,949.84 Median $2,398.83 Typical High $3,467.37 | Professional | 51 · Multiple procedures | $1,949.84 | $2,398.83 | $3,467.37 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $3,162.28 Median $3,890.45 Typical High $5,623.41 | Professional | 54 · Surgery only | $3,162.28 | $3,890.45 | $5,623.41 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $954.99 Typical High $1,380.38 | Professional | 55 · Aftercare only | $794.33 | $954.99 | $1,380.38 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,311.31 Median $4,073.80 Typical High $5,888.44 | Professional | 78 · Unplanned return to OR | $3,311.31 | $4,073.80 | $5,888.44 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $630.96 Median $776.25 Typical High $1,122.02 | Professional | 81 · Minimal assistant surgeon | $630.96 | $776.25 | $1,122.02 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $630.96 Median $776.25 Typical High $1,122.02 | Professional | 82 · Assistant surgeon, no resident | $630.96 | $776.25 | $1,122.02 |
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
$6,607
AK $9,333TX $427
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.