How much rates vary
Facilitymedian $12,303 · 10th to 90th $2,042 to $20,417Professionalmedian $5,495 · 10th to 90th $2,042 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 $2,041.74 Median $9,549.93 Typical High $14,454.40 | Facility | None | $2,041.74 | $9,549.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $16,218.10 | Professional | None | $2,041.74 | $2,041.74 | $16,218.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $15,135.61 Typical High $24,547.09 | Facility | None | $10,715.19 | $15,135.61 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $7,943.28 Typical High $16,595.87 | Professional | None | $2,041.74 | $7,943.28 | $16,595.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $5,011.87 Typical High $10,471.29 | Professional | 62 · Two surgeons | $1,288.25 | $5,011.87 | $10,471.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $1,258.93 Typical High $2,630.27 | Professional | 80 · Assistant surgeon | $331.13 | $1,258.93 | $2,630.27 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $1,122.02 Typical High $2,344.23 | Professional | AS · PA/NP assist | $288.40 | $1,122.02 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $7,244.36 Typical High $23,442.29 | Facility | None | $1,023.29 | $7,244.36 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $10,000.00 | Professional | None | $3,388.44 | $3,715.35 | $10,000.00 |
DeanCare Setting Facility Modifier None Typical Low $2,290.87 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,290.87 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $6,456.54 | Professional | None | $3,630.78 | $4,466.84 | $6,456.54 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $2,290.87 Median $2,818.38 Typical High $4,073.80 | Professional | 62 · Two surgeons | $2,290.87 | $2,818.38 | $4,073.80 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $588.84 Median $724.44 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $588.84 | $724.44 | $1,023.29 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $630.96 Typical High $912.01 | Professional | AS · PA/NP assist | $512.86 | $630.96 | $912.01 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $8,511.38 Typical High $19,498.45 | Facility | None | $1,412.54 | $8,511.38 | $19,498.45 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $31,622.78 | Professional | None | $2,398.83 | $5,888.44 | $31,622.78 |
Network Health Setting Facility Modifier None Typical Low $3,388.44 Median $12,882.50 Typical High $27,542.29 | Facility | None | $3,388.44 | $12,882.50 | $27,542.29 |
Network Health Setting Professional Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $6,309.57 | Professional | None | $2,570.40 | $5,128.61 | $6,309.57 |
Prevea360 Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $4,365.16 | Facility | None | $1,905.46 | $2,454.71 | $4,365.16 |
Quartz Setting Professional Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $9,549.93 | Professional | None | $2,137.96 | $4,897.79 | $9,549.93 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $15,488.17 Typical High $25,703.96 | Facility | None | $812.83 | $15,488.17 | $25,703.96 |
Quartz Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,786.30 | Professional | None | $3,715.35 | $3,715.35 | $4,786.30 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $13,182.57 Typical High $14,791.08 | Professional | None | $6,760.83 | $13,182.57 | $14,791.08 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $10,715.19 Typical High $20,417.38 | Facility | None | $2,041.74 | $10,715.19 | $20,417.38 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $4,265.80 Typical High $10,471.29 | Professional | None | $2,238.72 | $4,265.80 | $10,471.29 |
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 $1,023.29 Median $1,023.29 Typical High $8,128.31 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $8,128.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $3,235.94 | Professional | 53 · Discontinued | $407.38 | $407.38 | $3,235.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $12,302.69 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $12,302.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $2,454.71 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $1,621.81 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $1,621.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $11,481.54 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $11,481.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,819.70 Median $2,238.72 Typical High $3,235.94 | Professional | 51 · Multiple procedures | $1,819.70 | $2,238.72 | $3,235.94 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,548.13 Typical High $5,128.61 | Professional | 54 · Surgery only | $2,951.21 | $3,548.13 | $5,128.61 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | 55 · Aftercare only | $724.44 | $891.25 | $1,288.25 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $3,801.89 Typical High $5,370.32 | Professional | 78 · Unplanned return to OR | $3,090.30 | $3,801.89 | $5,370.32 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $588.84 Median $724.44 Typical High $1,023.29 | Professional | 81 · Minimal assistant surgeon | $588.84 | $724.44 | $1,023.29 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $588.84 Median $724.44 Typical High $1,023.29 | Professional | 82 · Assistant surgeon, no resident | $588.84 | $724.44 | $1,023.29 |
Where Wisconsin sits
The same service costs 6.5 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
$6,761
AK $8,710TX $1,349
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.