How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,479 to $21,380Professionalmedian $3,162 · 10th to 90th $1,230 to $9,120
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 $1,230.27 Median $8,317.64 Typical High $14,454.40 | Facility | None | $1,230.27 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $15,135.61 | Professional | None | $1,230.27 | $1,230.27 | $15,135.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $15,848.93 Typical High $23,988.33 | Facility | None | $11,220.18 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $4,365.16 Typical High $9,549.93 | Professional | None | $1,202.26 | $4,365.16 | $9,549.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $6,606.93 Typical High $13,803.84 | Professional | 50 · Both sides | $1,778.28 | $6,606.93 | $13,803.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $2,754.23 Typical High $5,888.44 | Professional | 62 · Two surgeons | $758.58 | $2,754.23 | $5,888.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $707.95 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $190.55 | $707.95 | $1,479.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $616.60 Typical High $1,288.25 | Professional | AS · PA/NP assist | $165.96 | $616.60 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $4,365.16 Typical High $23,988.33 | Facility | None | $1,202.26 | $4,365.16 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $5,754.40 | Professional | None | $1,995.26 | $2,238.72 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $9,332.54 | Facility | None | $1,380.38 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,691.53 | $3,890.45 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $3,981.07 Typical High $5,754.40 | Professional | 50 · Both sides | $3,311.31 | $3,981.07 | $5,754.40 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,698.24 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,380.38 | $1,698.24 | $2,454.71 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | 80 · Assistant surgeon | $346.74 | $426.58 | $616.60 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $371.54 Typical High $537.03 | Professional | AS · PA/NP assist | $309.03 | $371.54 | $537.03 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $7,943.28 Typical High $17,378.01 | Facility | None | $1,258.93 | $7,943.28 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $3,311.31 Typical High $9,332.54 | Professional | None | $1,318.26 | $3,311.31 | $9,332.54 |
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 $1,548.82 Median $2,951.21 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,951.21 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,511.89 | Facility | None | $933.25 | $1,380.38 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $5,370.32 | Professional | None | $1,288.25 | $2,951.21 | $5,370.32 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $16,218.10 Typical High $26,302.68 | Facility | None | $933.25 | $16,218.10 | $26,302.68 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,238.72 | $2,884.03 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $8,709.64 | Professional | None | $3,890.45 | $6,165.95 | $8,709.64 |
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 $1,288.25 Median $2,511.89 Typical High $6,025.60 | Professional | None | $1,288.25 | $2,511.89 | $6,025.60 |
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 $616.60 Median $616.60 Typical High $7,413.10 | Professional | 52 · Reduced service | $616.60 | $616.60 | $7,413.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $3,019.95 | Professional | 53 · Discontinued | $245.47 | $245.47 | $3,019.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $11,220.18 | Professional | 54 · Surgery only | $912.01 | $912.01 | $11,220.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $2,238.72 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $2,238.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $1,513.56 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $1,513.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $10,471.29 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $10,471.29 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,348.96 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $1,096.48 | $1,348.96 | $1,949.84 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,137.96 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,737.80 | $2,137.96 | $3,090.30 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $537.03 Typical High $776.25 | Professional | 55 · Aftercare only | $436.52 | $537.03 | $776.25 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,238.72 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,238.72 | $3,235.94 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $346.74 | $426.58 | $616.60 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $426.58 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $346.74 | $426.58 | $616.60 |
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
$4,169
AK $5,129TX $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.