How much rates vary
Facilitymedian $11,482 · 10th to 90th $2,455 to $19,498Professionalmedian $2,951 · 10th to 90th $1,445 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $15,488.17 Typical High $24,547.09 | Facility | None | $10,715.19 | $15,488.17 | $24,547.09 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $5,495.41 | Facility | None | $3,235.94 | $3,630.78 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $5,011.87 Typical High $5,754.40 | Professional | None | $2,041.74 | $5,011.87 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,445.44 Median $5,623.41 Typical High $10,471.29 | Facility | None | $1,445.44 | $5,623.41 | $10,471.29 |
DeanCare Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,137.96 | $2,630.27 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $8,317.64 Typical High $15,135.61 | Facility | None | $1,230.27 | $8,317.64 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $3,388.44 Typical High $9,120.11 | Professional | None | $1,380.38 | $3,388.44 | $9,120.11 |
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 $1,513.56 Median $2,951.21 Typical High $3,715.35 | Professional | None | $1,513.56 | $2,951.21 | $3,715.35 |
Prevea360 Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,511.89 | Facility | None | $1,122.02 | $1,445.44 | $2,511.89 |
10 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $3,981.07 Typical High $5,754.40 | Professional | 50 · Both sides | $3,235.94 | $3,981.07 | $5,754.40 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,318.26 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $1,071.52 | $1,318.26 | $1,905.46 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,137.96 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,737.80 | $2,137.96 | $3,019.95 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $524.81 Typical High $758.58 | Professional | 55 · Aftercare only | $426.58 | $524.81 | $758.58 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,659.59 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,348.96 | $1,659.59 | $2,398.83 |
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 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 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 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $371.54 Typical High $537.03 | Professional | AS · PA/NP assist | $302.00 | $371.54 | $537.03 |
Where Wisconsin sits
The same service costs 102.3 times more in Connecticut than in Hawaii. 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· 9th of 44
$5,495
CT $21,878HI $214
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.