How much rates vary
Facilitymedian $7,586 · 10th to 90th $2,455 to $14,125Professionalmedian $3,162 · 10th to 90th $1,549 to $10,715
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 $5,011.87 Median $7,762.47 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,762.47 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $5,888.44 | Facility | None | $3,467.37 | $3,890.45 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $5,370.32 Typical High $6,025.60 | Professional | None | $2,187.76 | $5,370.32 | $6,025.60 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,548.82 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $4,073.80 | Professional | None | $2,290.87 | $2,818.38 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $7,244.36 Typical High $15,135.61 | Facility | None | $1,230.27 | $7,244.36 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $3,630.78 Typical High $10,715.19 | Professional | None | $1,445.44 | $3,630.78 | $10,715.19 |
Network Health Setting Facility Modifier None Typical Low $2,630.27 Median $10,715.19 Typical High $17,378.01 | Facility | None | $2,630.27 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $1,621.81 Median $3,162.28 Typical High $3,981.07 | Professional | None | $1,621.81 | $3,162.28 | $3,981.07 |
Prevea360 Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,754.23 | Facility | None | $1,202.26 | $1,548.82 | $2,754.23 |
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 $3,467.37 Median $4,265.80 Typical High $6,165.95 | Professional | 50 · Both sides | $3,467.37 | $4,265.80 | $6,165.95 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | 51 · Multiple procedures | $1,148.15 | $1,412.54 | $2,041.74 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,238.72 Typical High $3,235.94 | Professional | 54 · Surgery only | $1,819.70 | $2,238.72 | $3,235.94 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $562.34 Typical High $812.83 | Professional | 55 · Aftercare only | $457.09 | $562.34 | $812.83 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $1,778.28 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,445.44 | $1,778.28 | $2,570.40 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,398.83 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,398.83 | $3,388.44 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $446.68 Typical High $645.65 | Professional | 80 · Assistant surgeon | $371.54 | $446.68 | $645.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $371.54 Median $446.68 Typical High $645.65 | Professional | 81 · Minimal assistant surgeon | $371.54 | $446.68 | $645.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $371.54 Median $446.68 Typical High $645.65 | Professional | 82 · Assistant surgeon, no resident | $371.54 | $446.68 | $645.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $398.11 Typical High $575.44 | Professional | AS · PA/NP assist | $323.59 | $398.11 | $575.44 |
Where Wisconsin sits
The same service costs 52.5 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
$5,370
CT $11,749HI $224
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.