How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,122 to $11,482Professionalmedian $1,413 · 10th to 90th $550 to $4,169
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 $549.54 Median $6,456.54 Typical High $14,454.40 | Facility | None | $549.54 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $5,495.41 | Professional | None | $549.54 | $549.54 | $5,495.41 |
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 $537.03 Median $1,995.26 Typical High $4,265.80 | Professional | None | $537.03 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $2,951.21 Typical High $6,309.57 | Professional | 50 · Both sides | $794.33 | $2,951.21 | $6,309.57 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $338.84 Median $1,258.93 Typical High $2,630.27 | Professional | 62 · Two surgeons | $338.84 | $1,258.93 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $316.23 Typical High $676.08 | Professional | 80 · Assistant surgeon | $85.11 | $316.23 | $676.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $281.84 Typical High $588.84 | Professional | AS · PA/NP assist | $74.13 | $281.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,511.89 Typical High $9,332.54 | Facility | None | $954.99 | $2,511.89 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,630.27 | Professional | None | $912.01 | $1,000.00 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,762.47 | Facility | None | $660.69 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,230.27 | $1,737.80 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,819.70 Typical High $2,630.27 | Professional | 50 · Both sides | $1,479.11 | $1,819.70 | $2,630.27 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $758.58 Typical High $1,096.48 | Professional | 62 · Two surgeons | $630.96 | $758.58 | $1,096.48 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 80 · Assistant surgeon | $158.49 | $194.98 | $281.84 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $245.47 | Professional | AS · PA/NP assist | $138.04 | $169.82 | $245.47 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $5,623.41 Typical High $13,803.84 | Facility | None | $891.25 | $5,623.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $1,513.56 Typical High $4,168.69 | Professional | None | $602.56 | $1,513.56 | $4,168.69 |
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 $691.83 Median $1,348.96 Typical High $1,698.24 | Professional | None | $691.83 | $1,348.96 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,122.02 | Facility | None | $549.54 | $812.83 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $1,380.38 Typical High $2,398.83 | Professional | None | $602.56 | $1,380.38 | $2,398.83 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $6,165.95 Typical High $10,232.93 | Facility | None | $758.58 | $6,165.95 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,000.00 | $1,288.25 |
Security Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Security Health Setting Professional Modifier None Typical Low $1,258.93 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,258.93 | $2,754.23 | $3,890.45 |
The Alliance Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $575.44 Median $1,148.15 Typical High $2,691.53 | Professional | None | $575.44 | $1,148.15 | $2,691.53 |
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 $275.42 Median $275.42 Typical High $2,691.53 | Professional | 52 · Reduced service | $275.42 | $275.42 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $1,096.48 | Professional | 53 · Discontinued | $109.65 | $109.65 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $4,073.80 | Professional | 54 · Surgery only | $416.87 | $416.87 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $812.83 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $549.54 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $3,801.89 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $602.56 Typical High $870.96 | Professional | 51 · Multiple procedures | $489.78 | $602.56 | $870.96 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $977.24 Typical High $1,412.54 | Professional | 54 · Surgery only | $794.33 | $977.24 | $1,412.54 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $245.47 Typical High $354.81 | Professional | 55 · Aftercare only | $199.53 | $245.47 | $354.81 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,479.11 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $158.49 | $194.98 | $281.84 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $194.98 | $281.84 |
Where Wisconsin sits
The same service costs 7.6 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
$1,950
AK $2,344TX $309
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.