How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,230 to $18,621Professionalmedian $1,995 · 10th to 90th $776 to $5,888
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 $776.25 Median $8,511.38 Typical High $14,454.40 | Facility | None | $776.25 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $7,762.47 | Professional | None | $776.25 | $776.25 | $7,762.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $14,454.40 Typical High $22,387.21 | Facility | None | $8,709.64 | $14,454.40 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $2,818.38 Typical High $5,888.44 | Professional | None | $758.58 | $2,818.38 | $5,888.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $4,168.69 Typical High $8,912.51 | Professional | 50 · Both sides | $1,122.02 | $4,168.69 | $8,912.51 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $1,778.28 Typical High $3,715.35 | Professional | 62 · Two surgeons | $478.63 | $1,778.28 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $446.68 Typical High $954.99 | Professional | 80 · Assistant surgeon | $120.23 | $446.68 | $954.99 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $398.11 Typical High $831.76 | Professional | AS · PA/NP assist | $104.71 | $398.11 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $3,548.13 Typical High $9,332.54 | Facility | None | $1,348.96 | $3,548.13 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,715.35 | Professional | None | $1,288.25 | $1,412.54 | $3,715.35 |
DeanCare Setting Facility Modifier None Typical Low $933.25 Median $5,623.41 Typical High $10,232.93 | Facility | None | $933.25 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,698.24 | $2,454.71 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $2,570.40 Typical High $3,715.35 | Professional | 50 · Both sides | $2,089.30 | $2,570.40 | $3,715.35 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | 62 · Two surgeons | $870.96 | $1,071.52 | $1,548.82 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | 80 · Assistant surgeon | $223.87 | $275.42 | $398.11 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $239.88 Typical High $346.74 | Professional | AS · PA/NP assist | $194.98 | $239.88 | $346.74 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $5,623.41 Typical High $13,803.84 | Facility | None | $933.25 | $5,623.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $2,137.96 Typical High $5,888.44 | Professional | None | $851.14 | $2,137.96 | $5,888.44 |
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 $977.24 Median $1,862.09 Typical High $2,398.83 | Professional | None | $977.24 | $1,862.09 | $2,398.83 |
Prevea360 Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $1,584.89 | Facility | None | $776.25 | $933.25 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,905.46 Typical High $3,388.44 | Professional | None | $831.76 | $1,905.46 | $3,388.44 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $6,165.95 Typical High $10,232.93 | Facility | None | $1,071.52 | $6,165.95 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,412.54 | $1,412.54 | $1,819.70 |
Security Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Security Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,890.45 Typical High $5,495.41 | Professional | None | $2,344.23 | $3,890.45 | $5,495.41 |
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 $831.76 Median $1,621.81 Typical High $3,890.45 | Professional | None | $831.76 | $1,621.81 | $3,890.45 |
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 $389.05 Median $389.05 Typical High $3,801.89 | Professional | 52 · Reduced service | $389.05 | $389.05 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $1,548.82 | Professional | 53 · Discontinued | $154.88 | $154.88 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $5,754.40 | Professional | 54 · Surgery only | $588.84 | $588.84 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $1,148.15 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $776.25 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $5,370.32 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $5,370.32 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $691.83 Median $851.14 Typical High $1,230.27 | Professional | 51 · Multiple procedures | $691.83 | $851.14 | $1,230.27 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,380.38 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,122.02 | $1,380.38 | $1,949.84 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $338.84 Typical High $489.78 | Professional | 55 · Aftercare only | $275.42 | $338.84 | $489.78 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,445.44 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,445.44 | $2,089.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | 81 · Minimal assistant surgeon | $223.87 | $275.42 | $398.11 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $275.42 Typical High $398.11 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $275.42 | $398.11 |
Where Wisconsin sits
The same service costs 7.4 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
$2,754
AK $3,311TX $447
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.