How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,380 to $18,621Professionalmedian $2,512 · 10th to 90th $933 to $7,079
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 $933.25 Median $8,317.64 Typical High $14,454.40 | Facility | None | $933.25 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $9,332.54 | Professional | None | $933.25 | $933.25 | $9,332.54 |
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 $912.01 Median $3,467.37 Typical High $7,244.36 | Professional | None | $912.01 | $3,467.37 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $5,128.61 Typical High $10,715.19 | Professional | 50 · Both sides | $1,380.38 | $5,128.61 | $10,715.19 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $2,137.96 Typical High $4,466.84 | Professional | 62 · Two surgeons | $575.44 | $2,137.96 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $537.03 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $147.91 | $537.03 | $1,148.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $478.63 Typical High $1,000.00 | Professional | AS · PA/NP assist | $128.82 | $478.63 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $9,332.54 | Facility | None | $1,202.26 | $3,311.31 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $4,466.84 | Professional | None | $1,548.82 | $1,698.24 | $4,466.84 |
DeanCare Setting Facility Modifier None Typical Low $1,047.13 Median $5,128.61 Typical High $9,332.54 | Facility | None | $1,047.13 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,659.59 | $2,041.74 | $2,951.21 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $2,511.89 Median $3,090.30 Typical High $4,466.84 | Professional | 50 · Both sides | $2,511.89 | $3,090.30 | $4,466.84 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,288.25 Typical High $1,862.09 | Professional | 62 · Two surgeons | $1,047.13 | $1,288.25 | $1,862.09 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | 80 · Assistant surgeon | $269.15 | $331.13 | $478.63 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $288.40 Typical High $416.87 | Professional | AS · PA/NP assist | $234.42 | $288.40 | $416.87 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,047.13 | $6,606.93 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $2,630.27 Typical High $7,079.46 | Professional | None | $1,047.13 | $2,630.27 | $7,079.46 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,174.90 | $2,290.87 | $2,884.03 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,949.84 | Facility | None | $933.25 | $1,047.13 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $2,290.87 Typical High $4,073.80 | Professional | None | $1,000.00 | $2,290.87 | $4,073.80 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $6,165.95 Typical High $10,232.93 | Facility | None | $933.25 | $6,165.95 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,698.24 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Security Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $6,760.83 | Professional | None | $3,019.95 | $4,786.30 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,949.84 Typical High $4,677.35 | Professional | None | $1,000.00 | $1,949.84 | $4,677.35 |
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 $467.74 Median $467.74 Typical High $4,570.88 | Professional | 52 · Reduced service | $467.74 | $467.74 | $4,570.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $1,862.09 | Professional | 53 · Discontinued | $186.21 | $186.21 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $6,918.31 | Professional | 54 · Surgery only | $707.95 | $707.95 | $6,918.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $1,380.38 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $1,380.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $933.25 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $6,456.54 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $6,456.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $831.76 Median $1,023.29 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $831.76 | $1,023.29 | $1,479.11 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,659.59 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,348.96 | $1,659.59 | $2,344.23 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $407.38 Typical High $588.84 | Professional | 55 · Aftercare only | $331.13 | $407.38 | $588.84 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,737.80 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | 81 · Minimal assistant surgeon | $269.15 | $331.13 | $478.63 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $331.13 | $478.63 |
Where Wisconsin sits
The same service costs 7.9 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
$3,311
AK $3,981TX $501
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.