How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,230 to $11,220Professionalmedian $1,820 · 10th to 90th $692 to $5,248
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 $691.83 Median $8,511.38 Typical High $14,454.40 | Facility | None | $691.83 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $6,918.31 | Professional | None | $691.83 | $691.83 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,011.87 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $2,511.89 Typical High $5,248.07 | Professional | None | $676.08 | $2,511.89 | $5,248.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $3,715.35 Typical High $7,762.47 | Professional | 50 · Both sides | $1,023.29 | $3,715.35 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $1,584.89 Typical High $3,311.31 | Professional | 62 · Two surgeons | $426.58 | $1,584.89 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $398.11 Typical High $831.76 | Professional | 80 · Assistant surgeon | $107.15 | $398.11 | $831.76 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $346.74 Typical High $724.44 | Professional | AS · PA/NP assist | $95.50 | $346.74 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $4,168.69 | Facility | None | $1,348.96 | $2,454.71 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $3,311.31 | Professional | None | $1,148.15 | $1,258.93 | $3,311.31 |
DeanCare Setting Facility Modifier None Typical Low $831.76 Median $5,623.41 Typical High $10,232.93 | Facility | None | $831.76 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,513.56 | $2,187.76 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,290.87 Typical High $3,311.31 | Professional | 50 · Both sides | $1,862.09 | $2,290.87 | $3,311.31 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $954.99 Typical High $1,380.38 | Professional | 62 · Two surgeons | $776.25 | $954.99 | $1,380.38 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $245.47 Typical High $354.81 | Professional | 80 · Assistant surgeon | $199.53 | $245.47 | $354.81 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $213.80 Typical High $309.03 | Professional | AS · PA/NP assist | $173.78 | $213.80 | $309.03 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $5,623.41 Typical High $10,964.78 | Facility | None | $933.25 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,905.46 Typical High $5,754.40 | Professional | None | $776.25 | $1,905.46 | $5,754.40 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,137.96 | Professional | None | $870.96 | $1,659.59 | $2,137.96 |
Prevea360 Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,412.54 | Facility | None | $691.83 | $933.25 | $1,412.54 |
Quartz Setting Professional Modifier None Typical Low $741.31 Median $1,698.24 Typical High $3,019.95 | Professional | None | $741.31 | $1,698.24 | $3,019.95 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $3,019.95 Typical High $4,570.88 | Facility | None | $1,071.52 | $3,019.95 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,258.93 | $1,621.81 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,238.72 | $3,467.37 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $3,467.37 | Professional | None | $724.44 | $1,445.44 | $3,467.37 |
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 $346.74 Median $346.74 Typical High $3,467.37 | Professional | 52 · Reduced service | $346.74 | $346.74 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $1,380.38 | Professional | 53 · Discontinued | $138.04 | $138.04 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $5,128.61 | Professional | 54 · Surgery only | $524.81 | $524.81 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $1,023.29 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $691.83 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $4,786.30 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $758.58 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $616.60 | $758.58 | $1,096.48 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,230.27 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,000.00 | $1,230.27 | $1,737.80 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $302.00 Typical High $436.52 | Professional | 55 · Aftercare only | $245.47 | $302.00 | $436.52 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,288.25 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,288.25 | $1,862.09 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $245.47 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $199.53 | $245.47 | $354.81 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $245.47 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $245.47 | $354.81 |
Where Wisconsin sits
The same service costs 8.7 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
$2,455
AK $2,951TX $339
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.