How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,413 to $17,783Professionalmedian $3,631 · 10th to 90th $1,413 to $10,715
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 $1,412.54 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,412.54 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $14,125.38 | Professional | None | $1,412.54 | $1,412.54 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $14,454.40 Typical High $22,387.21 | Facility | None | $9,772.37 | $14,454.40 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $5,248.07 Typical High $10,715.19 | Professional | None | $1,412.54 | $5,248.07 | $10,715.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,089.30 Median $7,762.47 Typical High $16,218.10 | Professional | 50 · Both sides | $2,089.30 | $7,762.47 | $16,218.10 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $3,235.94 Typical High $6,760.83 | Professional | 62 · Two surgeons | $891.25 | $3,235.94 | $6,760.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $831.76 Typical High $1,737.80 | Professional | 80 · Assistant surgeon | $223.87 | $831.76 | $1,737.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $724.44 Typical High $1,513.56 | Professional | AS · PA/NP assist | $194.98 | $724.44 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,897.79 Typical High $9,332.54 | Facility | None | $954.99 | $4,897.79 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $6,606.93 | Professional | None | $2,290.87 | $2,570.40 | $6,606.93 |
DeanCare Setting Facility Modifier None Typical Low $1,584.89 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,584.89 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,511.89 | $3,090.30 | $4,466.84 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $3,801.89 Median $4,677.35 Typical High $6,606.93 | Professional | 50 · Both sides | $3,801.89 | $4,677.35 | $6,606.93 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $1,949.84 Typical High $2,818.38 | Professional | 62 · Two surgeons | $1,584.89 | $1,949.84 | $2,818.38 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $489.78 Typical High $707.95 | Professional | 80 · Assistant surgeon | $398.11 | $489.78 | $707.95 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $436.52 Typical High $616.60 | Professional | AS · PA/NP assist | $354.81 | $436.52 | $616.60 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $12,589.25 | Facility | None | $1,230.27 | $4,570.88 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $3,630.78 Typical High $10,715.19 | Professional | None | $1,348.96 | $3,630.78 | $10,715.19 |
Network Health Setting Facility Modifier None Typical Low $2,818.38 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,818.38 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $1,778.28 Median $3,388.44 Typical High $4,365.16 | Professional | None | $1,778.28 | $3,388.44 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,019.95 | Facility | None | $1,318.26 | $1,584.89 | $3,019.95 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $6,165.95 | Professional | None | $1,479.11 | $3,388.44 | $6,165.95 |
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 $2,570.40 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,570.40 | $2,570.40 | $3,311.31 |
Security Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $2,630.27 Median $7,244.36 Typical High $10,000.00 | Professional | None | $2,630.27 | $7,244.36 | $10,000.00 |
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 $1,318.26 Median $2,951.21 Typical High $7,079.46 | Professional | None | $1,318.26 | $2,951.21 | $7,079.46 |
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 $707.95 Median $707.95 Typical High $7,079.46 | Professional | 52 · Reduced service | $707.95 | $707.95 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $2,818.38 | Professional | 53 · Discontinued | $281.84 | $281.84 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $10,471.29 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $10,471.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $2,137.96 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $1,412.54 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $9,772.37 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $9,772.37 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,548.82 Typical High $2,238.72 | Professional | 51 · Multiple procedures | $1,258.93 | $1,548.82 | $2,238.72 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,454.71 Typical High $3,548.13 | Professional | 54 · Surgery only | $1,995.26 | $2,454.71 | $3,548.13 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $616.60 Typical High $891.25 | Professional | 55 · Aftercare only | $501.19 | $616.60 | $891.25 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,570.40 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,570.40 | $3,715.35 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $489.78 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $398.11 | $489.78 | $707.95 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $489.78 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $489.78 | $707.95 |
Where Wisconsin sits
The same service costs 8.9 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
$4,677
AK $6,026TX $676
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.