How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,318 to $14,454Professionalmedian $3,090 · 10th to 90th $1,175 to $8,913
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 $1,174.90 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,174.90 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $11,748.98 | Professional | None | $1,174.90 | $1,174.90 | $11,748.98 |
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 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $4,265.80 Typical High $9,120.11 | Professional | None | $1,148.15 | $4,265.80 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $6,456.54 Typical High $13,489.63 | Professional | 50 · Both sides | $1,737.80 | $6,456.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $2,691.53 Typical High $5,623.41 | Professional | 62 · Two surgeons | $724.44 | $2,691.53 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $691.83 Typical High $1,445.44 | Professional | 80 · Assistant surgeon | $186.21 | $691.83 | $1,445.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $602.56 Typical High $1,258.93 | Professional | AS · PA/NP assist | $162.18 | $602.56 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,168.69 Typical High $12,022.64 | Facility | None | $1,023.29 | $4,168.69 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $5,495.41 | Professional | None | $1,905.46 | $2,137.96 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,318.26 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,318.26 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,570.40 | $3,715.35 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $3,162.28 Median $3,890.45 Typical High $5,623.41 | Professional | 50 · Both sides | $3,162.28 | $3,890.45 | $5,623.41 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,621.81 Typical High $2,344.23 | Professional | 62 · Two surgeons | $1,318.26 | $1,621.81 | $2,344.23 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $416.87 Typical High $588.84 | Professional | 80 · Assistant surgeon | $338.84 | $416.87 | $588.84 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $363.08 Typical High $524.81 | Professional | AS · PA/NP assist | $295.12 | $363.08 | $524.81 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,230.27 | $6,456.54 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $3,235.94 Typical High $10,715.19 | Professional | None | $1,318.26 | $3,235.94 | $10,715.19 |
Network Health Setting Facility Modifier None Typical Low $2,398.83 Median $10,715.19 Typical High $17,378.01 | Facility | None | $2,398.83 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,884.03 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,412.54 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $5,128.61 | Professional | None | $1,258.93 | $2,884.03 | $5,128.61 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $7,943.28 Typical High $13,182.57 | Facility | None | $812.83 | $7,943.28 | $13,182.57 |
Quartz Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,137.96 | $2,754.23 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $8,317.64 | Professional | None | $3,801.89 | $6,025.60 | $8,317.64 |
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 $1,258.93 Median $2,454.71 Typical High $5,888.44 | Professional | None | $1,258.93 | $2,454.71 | $5,888.44 |
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 $588.84 Median $588.84 Typical High $5,888.44 | Professional | 52 · Reduced service | $588.84 | $588.84 | $5,888.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $2,344.23 | Professional | 53 · Discontinued | $234.42 | $234.42 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $8,709.64 | Professional | 54 · Surgery only | $891.25 | $891.25 | $8,709.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $1,737.80 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $1,737.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $1,174.90 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $8,128.31 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $8,128.31 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,047.13 Median $1,288.25 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $1,047.13 | $1,288.25 | $1,862.09 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,041.74 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,698.24 | $2,041.74 | $2,951.21 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $512.86 Typical High $741.31 | Professional | 55 · Aftercare only | $416.87 | $512.86 | $741.31 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,187.76 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,187.76 | $3,090.30 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $416.87 Typical High $588.84 | Professional | 81 · Minimal assistant surgeon | $338.84 | $416.87 | $588.84 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $416.87 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $416.87 | $588.84 |
Where Wisconsin sits
The same service costs 8.7 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
$3,981
AK $5,012TX $575
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.