How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,175 to $11,220Professionalmedian $1,514 · 10th to 90th $575 to $4,365
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 $575.44 Median $8,317.64 Typical High $14,454.40 | Facility | None | $575.44 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $5,754.40 | Professional | None | $575.44 | $575.44 | $5,754.40 |
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 $562.34 Median $2,089.30 Typical High $4,365.16 | Professional | None | $562.34 | $2,089.30 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $3,090.30 Typical High $6,456.54 | Professional | 50 · Both sides | $831.76 | $3,090.30 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $1,318.26 Typical High $2,754.23 | Professional | 62 · Two surgeons | $354.81 | $1,318.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $331.13 Typical High $691.83 | Professional | 80 · Assistant surgeon | $89.13 | $331.13 | $691.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $295.12 Typical High $602.56 | Professional | AS · PA/NP assist | $77.62 | $295.12 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,202.26 | $2,398.83 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,754.23 | Professional | None | $954.99 | $1,047.13 | $2,754.23 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $5,128.61 Typical High $9,332.54 | Facility | None | $691.83 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,258.93 | $1,819.70 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,905.46 Typical High $2,754.23 | Professional | 50 · Both sides | $1,548.82 | $1,905.46 | $2,754.23 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $794.33 Typical High $1,148.15 | Professional | 62 · Two surgeons | $660.69 | $794.33 | $1,148.15 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $204.17 Typical High $295.12 | Professional | 80 · Assistant surgeon | $165.96 | $204.17 | $295.12 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $177.83 Typical High $257.04 | Professional | AS · PA/NP assist | $144.54 | $177.83 | $257.04 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $5,623.41 Typical High $10,964.78 | Facility | None | $933.25 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,548.82 Typical High $9,332.54 | Professional | None | $630.96 | $1,548.82 | $9,332.54 |
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 $724.44 Median $1,380.38 Typical High $1,778.28 | Professional | None | $724.44 | $1,380.38 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $1,174.90 | Facility | None | $575.44 | $812.83 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $630.96 Median $1,445.44 Typical High $2,511.89 | Professional | None | $630.96 | $1,445.44 | $2,511.89 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $3,019.95 Typical High $4,570.88 | Facility | None | $933.25 | $3,019.95 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,047.13 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,884.03 | $4,073.80 |
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 $616.60 Median $1,202.26 Typical High $2,818.38 | Professional | None | $616.60 | $1,202.26 | $2,818.38 |
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 $288.40 Median $288.40 Typical High $2,884.03 | Professional | 52 · Reduced service | $288.40 | $288.40 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $1,148.15 | Professional | 53 · Discontinued | $114.82 | $114.82 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $4,265.80 | Professional | 54 · Surgery only | $436.52 | $436.52 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $851.14 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $575.44 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $3,981.07 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $630.96 Typical High $912.01 | Professional | 51 · Multiple procedures | $512.86 | $630.96 | $912.01 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,023.29 Typical High $1,479.11 | Professional | 54 · Surgery only | $831.76 | $1,023.29 | $1,479.11 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $257.04 Typical High $363.08 | Professional | 55 · Aftercare only | $208.93 | $257.04 | $363.08 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $870.96 | $1,071.52 | $1,548.82 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $165.96 Median $204.17 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $165.96 | $204.17 | $295.12 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $165.96 Median $204.17 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $165.96 | $204.17 | $295.12 |
Where Wisconsin sits
The same service costs 14.1 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
$2,042
AK $2,455TX $174
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.