How much rates vary
Facilitymedian $1,202 · 10th to 90th $115 to $3,802Professionalmedian $224 · 10th to 90th $100 to $617
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 $79.43 Median $104.71 Typical High $14,454.40 | Facility | None | $79.43 | $104.71 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $977.24 | Professional | None | $79.43 | $104.71 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $309.03 Typical High $630.96 | Professional | None | $97.72 | $309.03 | $630.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $467.74 Typical High $933.25 | Professional | 50 · Both sides | $147.91 | $467.74 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $281.84 Typical High $812.83 | Facility | None | $102.33 | $281.84 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $436.52 | Professional | None | $144.54 | $186.21 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $2,630.27 Typical High $5,128.61 | Facility | None | $89.13 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $281.84 | Professional | None | $147.91 | $208.93 | $281.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $309.03 Typical High $426.58 | Professional | 50 · Both sides | $223.87 | $309.03 | $426.58 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $912.01 Typical High $1,778.28 | Facility | None | $128.82 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $426.58 Typical High $1,023.29 | Professional | None | $125.89 | $426.58 | $1,023.29 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $346.74 | Professional | None | $131.83 | $239.88 | $346.74 |
Prevea360 Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $194.98 | Facility | None | $75.86 | $114.82 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $407.38 | Professional | None | $131.83 | $239.88 | $407.38 |
Quartz Setting Facility Modifier None Typical Low $102.33 Median $154.88 Typical High $1,096.48 | Facility | None | $102.33 | $154.88 | $1,096.48 |
Quartz Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | None | $144.54 | $186.21 | $229.09 |
Security Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None | $269.15 | $269.15 | $346.74 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $724.44 | Professional | None | $338.84 | $524.81 | $724.44 |
The Alliance Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $645.65 | Professional | None | $234.42 | $489.78 | $645.65 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $489.78 | Professional | None | $97.72 | $194.98 | $489.78 |
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 $39.81 Median $39.81 Typical High $52.48 | Facility | 52 · Reduced service | $39.81 | $39.81 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $20.89 | Facility | 53 · Discontinued | $15.85 | $15.85 | $20.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $58.88 Median $58.88 Typical High $77.62 | Facility | 54 · Surgery only | $58.88 | $58.88 | $77.62 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $15.49 | Facility | 55 · Aftercare only | $12.02 | $12.02 | $15.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $10.47 | Facility | 56 · Pre-op care only | $7.94 | $7.94 | $10.47 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $54.95 Typical High $72.44 | Facility | 78 · Unplanned return to OR | $54.95 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $52.48 Typical High $501.19 | Professional | 52 · Reduced service | $39.81 | $52.48 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $199.53 | Professional | 53 · Discontinued | $15.85 | $20.89 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $77.62 Typical High $758.58 | Professional | 54 · Surgery only | $58.88 | $77.62 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.49 Typical High $151.36 | Professional | 55 · Aftercare only | $12.02 | $15.49 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $100.00 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $72.44 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $54.95 | $72.44 | $707.95 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $104.71 Typical High $141.25 | Professional | 51 · Multiple procedures | $74.13 | $104.71 | $141.25 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $223.87 | Professional | 54 · Surgery only | $120.23 | $165.96 | $223.87 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $41.69 Typical High $56.23 | Professional | 55 · Aftercare only | $29.51 | $41.69 | $56.23 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $125.89 | $173.78 | $234.42 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $33.11 Typical High $44.67 | Professional | 80 · Assistant surgeon | $23.99 | $33.11 | $44.67 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $33.11 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $23.99 | $33.11 | $44.67 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $33.11 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $33.11 | $44.67 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $28.84 Typical High $39.81 | Professional | AS · PA/NP assist | $20.89 | $28.84 | $39.81 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$257
AK $324FL $83.18
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.