How much rates vary
Facilitymedian $2,399 · 10th to 90th $468 to $5,623Professionalmedian $550 · 10th to 90th $245 to $1,738
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 $245.47 Median $245.47 Typical High $14,454.40 | Facility | None | $245.47 | $245.47 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $2,187.76 | Professional | None | $245.47 | $245.47 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $870.96 Typical High $1,778.28 | Professional | None | $229.09 | $870.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $1,288.25 Typical High $2,691.53 | Professional | 50 · Both sides | $346.74 | $1,288.25 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,148.15 Typical High $2,187.76 | Facility | None | $676.08 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $1,148.15 | Professional | None | $380.19 | $446.68 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $239.88 Median $2,570.40 Typical High $4,786.30 | Facility | None | $239.88 | $2,570.40 | $4,786.30 |
DeanCare Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $758.58 | Professional | None | $446.68 | $537.03 | $758.58 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $812.83 Typical High $1,122.02 | Professional | 50 · Both sides | $660.69 | $812.83 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $2,187.76 Typical High $4,786.30 | Facility | None | $457.09 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $933.25 Typical High $1,862.09 | Professional | None | $245.47 | $933.25 | $1,862.09 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $707.95 | Professional | None | $309.03 | $549.54 | $707.95 |
Prevea360 Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $512.86 | Facility | None | $229.09 | $275.42 | $512.86 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,071.52 | Professional | None | $407.38 | $691.83 | $1,071.52 |
Quartz Setting Facility Modifier None Typical Low $630.96 Median $1,584.89 Typical High $2,398.83 | Facility | None | $630.96 | $1,584.89 | $2,398.83 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | None | $446.68 | $446.68 | $549.54 |
Security Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | None | $776.25 | $776.25 | $794.33 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $1,318.26 Typical High $1,659.59 | Professional | None | $741.31 | $1,318.26 | $1,659.59 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,677.35 | Facility | None | $707.95 | $2,818.38 | $4,677.35 |
United Setting Professional Modifier None Typical Low $239.88 Median $501.19 Typical High $1,148.15 | Professional | None | $239.88 | $501.19 | $1,148.15 |
20 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 Facility Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $186.21 | Facility | 54 · Surgery only | $181.97 | $181.97 | $186.21 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | 55 · Aftercare only | $37.15 | $37.15 | $37.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $169.82 Typical High $173.78 | Facility | 78 · Unplanned return to OR | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $1,096.48 | Professional | 52 · Reduced service | $123.03 | $123.03 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $436.52 | Professional | 53 · Discontinued | $48.98 | $48.98 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $186.21 Typical High $1,621.81 | Professional | 54 · Surgery only | $181.97 | $186.21 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $323.59 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $218.78 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $173.78 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $169.82 | $173.78 | $1,513.56 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $269.15 Typical High $380.19 | Professional | 51 · Multiple procedures | $218.78 | $269.15 | $380.19 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $426.58 Typical High $602.56 | Professional | 54 · Surgery only | $354.81 | $426.58 | $602.56 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $107.15 Typical High $151.36 | Professional | 55 · Aftercare only | $89.13 | $107.15 | $151.36 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $457.09 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $371.54 | $457.09 | $630.96 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | 80 · Assistant surgeon | $70.79 | $87.10 | $120.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $70.79 | $87.10 | $120.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $87.10 | $120.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $75.86 Typical High $104.71 | Professional | AS · PA/NP assist | $61.66 | $75.86 | $104.71 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska than in Utah. 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
$708
AK $1,023UT $191
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.