How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,622 to $18,621Professionalmedian $4,169 · 10th to 90th $1,585 to $11,749
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 $1,584.89 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,584.89 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $21,877.62 | Professional | None | $1,584.89 | $1,584.89 | $21,877.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $14,791.08 Typical High $22,387.21 | Facility | None | $10,964.78 | $14,791.08 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $5,754.40 Typical High $12,022.64 | Professional | None | $1,584.89 | $5,754.40 | $12,022.64 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,344.23 Median $8,709.64 Typical High $18,197.01 | Professional | 50 · Both sides | $2,344.23 | $8,709.64 | $18,197.01 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $3,630.78 Typical High $7,585.78 | Professional | 62 · Two surgeons | $977.24 | $3,630.78 | $7,585.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $933.25 Typical High $1,905.46 | Professional | 80 · Assistant surgeon | $251.19 | $933.25 | $1,905.46 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $812.83 Typical High $1,698.24 | Professional | AS · PA/NP assist | $218.78 | $812.83 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,897.79 Typical High $9,332.54 | Facility | None | $1,023.29 | $4,897.79 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $7,413.10 | Professional | None | $2,630.27 | $2,884.03 | $7,413.10 |
DeanCare Setting Facility Modifier None Typical Low $1,778.28 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,778.28 | $4,365.16 | $8,128.31 |
DeanCare Setting Professional Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $5,011.87 | Professional | None | $2,818.38 | $3,467.37 | $5,011.87 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $4,265.80 Median $5,248.07 Typical High $7,413.10 | Professional | 50 · Both sides | $4,265.80 | $5,248.07 | $7,413.10 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $2,187.76 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,778.28 | $2,187.76 | $3,162.28 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $549.54 Typical High $794.33 | Professional | 80 · Assistant surgeon | $446.68 | $549.54 | $794.33 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $489.78 Typical High $691.83 | Professional | AS · PA/NP assist | $398.11 | $489.78 | $691.83 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $7,943.28 Typical High $16,595.87 | Facility | None | $1,318.26 | $7,943.28 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $4,365.16 Typical High $12,022.64 | Professional | None | $1,778.28 | $4,365.16 | $12,022.64 |
Network Health Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,011.87 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,890.45 Typical High $4,897.79 | Professional | None | $1,995.26 | $3,890.45 | $4,897.79 |
Prevea360 Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,778.28 | $3,311.31 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $6,918.31 | Professional | None | $1,659.59 | $3,801.89 | $6,918.31 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $6,165.95 Typical High $10,232.93 | Facility | None | $812.83 | $6,165.95 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,884.03 | $2,884.03 | $3,715.35 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $11,220.18 | Professional | None | $5,248.07 | $8,128.31 | $11,220.18 |
The Alliance Setting Professional Modifier None Typical Low $6,456.54 Median $7,079.46 Typical High $9,549.93 | Professional | None | $6,456.54 | $7,079.46 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $3,311.31 Typical High $7,943.28 | Professional | None | $1,737.80 | $3,311.31 | $7,943.28 |
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 $794.33 Median $794.33 Typical High $10,964.78 | Professional | 52 · Reduced service | $794.33 | $794.33 | $10,964.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $4,365.16 | Professional | 53 · Discontinued | $316.23 | $316.23 | $4,365.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $16,595.87 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $16,595.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $3,311.31 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $3,311.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $2,187.76 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $15,488.17 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $15,488.17 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,737.80 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $1,412.54 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,754.23 Typical High $3,981.07 | Professional | 54 · Surgery only | $2,238.72 | $2,754.23 | $3,981.07 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $691.83 Typical High $1,000.00 | Professional | 55 · Aftercare only | $562.34 | $691.83 | $1,000.00 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,884.03 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,884.03 | $4,168.69 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $446.68 Median $549.54 Typical High $794.33 | Professional | 81 · Minimal assistant surgeon | $446.68 | $549.54 | $794.33 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $446.68 Median $549.54 Typical High $794.33 | Professional | 82 · Assistant surgeon, no resident | $446.68 | $549.54 | $794.33 |
Where Wisconsin sits
The same service costs 7.8 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
$5,248
AK $6,761TX $871
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.