How much rates vary
Facilitymedian $12,303 · 10th to 90th $2,188 to $20,417Professionalmedian $6,457 · 10th to 90th $2,344 to $17,783
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 $2,344.23 Median $9,549.93 Typical High $14,454.40 | Facility | None | $2,344.23 | $9,549.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $23,442.29 | Professional | None | $2,344.23 | $2,344.23 | $23,442.29 |
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 $2,344.23 Median $9,120.11 Typical High $19,498.45 | Professional | None | $2,344.23 | $9,120.11 | $19,498.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $5,754.40 Typical High $12,302.69 | Professional | 62 · Two surgeons | $1,479.11 | $5,754.40 | $12,302.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $380.19 Median $1,479.11 Typical High $3,162.28 | Professional | 80 · Assistant surgeon | $380.19 | $1,479.11 | $3,162.28 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $1,288.25 Typical High $2,754.23 | Professional | AS · PA/NP assist | $331.13 | $1,288.25 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $8,317.64 Typical High $23,442.29 | Facility | None | $1,023.29 | $8,317.64 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $11,481.54 | Professional | None | $3,890.45 | $4,265.80 | $11,481.54 |
DeanCare Setting Facility Modifier None Typical Low $2,630.27 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,630.27 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $7,413.10 | Professional | None | $4,168.69 | $5,128.61 | $7,413.10 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $2,630.27 Median $3,235.94 Typical High $4,677.35 | Professional | 62 · Two surgeons | $2,630.27 | $3,235.94 | $4,677.35 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $676.08 Median $831.76 Typical High $1,202.26 | Professional | 80 · Assistant surgeon | $676.08 | $831.76 | $1,202.26 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | AS · PA/NP assist | $588.84 | $724.44 | $1,047.13 |
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 $2,754.23 Median $6,760.83 Typical High $20,892.96 | Professional | None | $2,754.23 | $6,760.83 | $20,892.96 |
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 $2,951.21 Median $6,309.57 Typical High $7,413.10 | Professional | None | $2,951.21 | $6,309.57 | $7,413.10 |
Prevea360 Setting Facility Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,630.27 | $5,011.87 |
Quartz Setting Professional Modifier None Typical Low $2,454.71 Median $5,623.41 Typical High $10,964.78 | Professional | None | $2,454.71 | $5,623.41 | $10,964.78 |
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 $4,265.80 Median $4,265.80 Typical High $5,495.41 | Professional | None | $4,265.80 | $4,265.80 | $5,495.41 |
Security Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Security Health Setting Professional Modifier None Typical Low $7,762.47 Median $15,135.61 Typical High $16,982.44 | Professional | None | $7,762.47 | $15,135.61 | $16,982.44 |
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 $2,630.27 Median $5,011.87 Typical High $12,022.64 | Professional | None | $2,630.27 | $5,011.87 | $12,022.64 |
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 $1,174.90 Median $1,174.90 Typical High $11,748.98 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $11,748.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $4,677.35 | Professional | 53 · Discontinued | $467.74 | $467.74 | $4,677.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $17,782.79 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $17,782.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $354.81 Typical High $3,548.13 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $3,548.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $2,344.23 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $16,595.87 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $16,595.87 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $2,089.30 Median $2,570.40 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $2,089.30 | $2,570.40 | $3,715.35 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $3,388.44 Median $4,168.69 Typical High $5,888.44 | Professional | 54 · Surgery only | $3,388.44 | $4,168.69 | $5,888.44 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $1,023.29 Typical High $1,479.11 | Professional | 55 · Aftercare only | $831.76 | $1,023.29 | $1,479.11 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,548.13 Median $4,365.16 Typical High $6,309.57 | Professional | 78 · Unplanned return to OR | $3,548.13 | $4,365.16 | $6,309.57 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $676.08 Median $831.76 Typical High $1,202.26 | Professional | 81 · Minimal assistant surgeon | $676.08 | $831.76 | $1,202.26 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $676.08 Median $831.76 Typical High $1,202.26 | Professional | 82 · Assistant surgeon, no resident | $676.08 | $831.76 | $1,202.26 |
Where Wisconsin sits
The same service costs 25.7 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
$7,762
AK $10,000TX $389
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.