How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,349 to $18,621Professionalmedian $2,344 · 10th to 90th $912 to $6,918
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 $912.01 Median $8,511.38 Typical High $14,454.40 | Facility | None | $912.01 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $10,964.78 | Professional | None | $912.01 | $912.01 | $10,964.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $14,791.08 Typical High $22,387.21 | Facility | None | $10,964.78 | $14,791.08 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $3,311.31 Typical High $7,244.36 | Professional | None | $891.25 | $3,311.31 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $5,011.87 Typical High $10,471.29 | Professional | 50 · Both sides | $1,348.96 | $5,011.87 | $10,471.29 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $562.34 Median $2,089.30 Typical High $4,365.16 | Professional | 62 · Two surgeons | $562.34 | $2,089.30 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $537.03 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $144.54 | $537.03 | $1,122.02 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $467.74 Typical High $977.24 | Professional | AS · PA/NP assist | $125.89 | $467.74 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $11,748.98 | Facility | None | $1,348.96 | $3,801.89 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $4,365.16 | Professional | None | $1,513.56 | $1,659.59 | $4,365.16 |
DeanCare Setting Facility Modifier None Typical Low $1,023.29 Median $5,623.41 Typical High $10,232.93 | Facility | None | $1,023.29 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,621.81 | $1,995.26 | $2,884.03 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $2,454.71 Median $3,019.95 Typical High $4,365.16 | Professional | 50 · Both sides | $2,454.71 | $3,019.95 | $4,365.16 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,258.93 Typical High $1,819.70 | Professional | 62 · Two surgeons | $1,023.29 | $1,258.93 | $1,819.70 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $323.59 Typical High $467.74 | Professional | 80 · Assistant surgeon | $263.03 | $323.59 | $467.74 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $281.84 Typical High $407.38 | Professional | AS · PA/NP assist | $229.09 | $281.84 | $407.38 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $7,943.28 Typical High $17,378.01 | Facility | None | $1,202.26 | $7,943.28 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $2,570.40 Typical High $6,918.31 | Professional | None | $1,023.29 | $2,570.40 | $6,918.31 |
Network Health Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,011.87 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $1,148.15 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,148.15 | $2,238.72 | $2,818.38 |
Prevea360 Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,905.46 | Facility | None | $912.01 | $1,023.29 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $977.24 Median $2,238.72 Typical High $3,981.07 | Professional | None | $977.24 | $2,238.72 | $3,981.07 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $7,762.47 Typical High $12,882.50 | Facility | None | $1,071.52 | $7,762.47 | $12,882.50 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,659.59 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Security Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,677.35 Typical High $6,606.93 | Professional | None | $2,630.27 | $4,677.35 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,905.46 Typical High $4,570.88 | Professional | None | $977.24 | $1,905.46 | $4,570.88 |
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 $457.09 Median $457.09 Typical High $5,495.41 | Professional | 52 · Reduced service | $457.09 | $457.09 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $2,187.76 | Professional | 53 · Discontinued | $181.97 | $181.97 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $8,317.64 | Professional | 54 · Surgery only | $691.83 | $691.83 | $8,317.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $1,659.59 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $7,762.47 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $7,762.47 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $812.83 Median $1,000.00 Typical High $1,445.44 | Professional | 51 · Multiple procedures | $812.83 | $1,000.00 | $1,445.44 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,621.81 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,318.26 | $1,621.81 | $2,290.87 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $398.11 Typical High $575.44 | Professional | 55 · Aftercare only | $323.59 | $398.11 | $575.44 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,698.24 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,698.24 | $2,454.71 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $263.03 Median $323.59 Typical High $467.74 | Professional | 81 · Minimal assistant surgeon | $263.03 | $323.59 | $467.74 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $263.03 Median $323.59 Typical High $467.74 | Professional | 82 · Assistant surgeon, no resident | $263.03 | $323.59 | $467.74 |
Where Wisconsin sits
The same service costs 7.9 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
$3,311
AK $3,890TX $490
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.