How much rates vary
Facilitymedian $12,023 · 10th to 90th $1,413 to $21,380Professionalmedian $3,090 · 10th to 90th $1,259 to $9,333
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 $1,258.93 Median $8,317.64 Typical High $14,454.40 | Facility | None | $1,258.93 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $13,803.84 | Professional | None | $1,258.93 | $1,258.93 | $13,803.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $15,848.93 Typical High $23,988.33 | Facility | None | $9,772.37 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $9,772.37 | Professional | None | $1,230.27 | $4,570.88 | $9,772.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $6,760.83 Typical High $14,454.40 | Professional | 50 · Both sides | $1,819.70 | $6,760.83 | $14,454.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $2,884.03 Typical High $6,025.60 | Professional | 62 · Two surgeons | $758.58 | $2,884.03 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $724.44 Typical High $1,548.82 | Professional | 80 · Assistant surgeon | $194.98 | $724.44 | $1,548.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $630.96 Typical High $1,348.96 | Professional | AS · PA/NP assist | $169.82 | $630.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $4,466.84 Typical High $22,387.21 | Facility | None | $1,202.26 | $4,466.84 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $5,888.44 | Professional | None | $2,041.74 | $2,290.87 | $5,888.44 |
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 $1,995.26 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,754.23 | $3,801.89 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $4,168.69 Typical High $5,623.41 | Professional | 50 · Both sides | $2,951.21 | $4,168.69 | $5,623.41 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,737.80 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,258.93 | $1,737.80 | $2,398.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $436.52 Typical High $602.56 | Professional | 80 · Assistant surgeon | $316.23 | $436.52 | $602.56 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $389.05 Typical High $524.81 | Professional | AS · PA/NP assist | $275.42 | $389.05 | $524.81 |
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 $1,348.96 Median $3,311.31 Typical High $9,549.93 | Professional | None | $1,348.96 | $3,311.31 | $9,549.93 |
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 $1,584.89 Median $2,951.21 Typical High $3,801.89 | Professional | None | $1,584.89 | $2,951.21 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,570.40 | Facility | None | $933.25 | $1,412.54 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $1,348.96 Median $3,090.30 Typical High $5,495.41 | Professional | None | $1,348.96 | $3,090.30 | $5,495.41 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $14,791.08 Typical High $24,547.09 | Facility | None | $933.25 | $14,791.08 | $24,547.09 |
Quartz Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,290.87 | $2,951.21 |
Security Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $6,165.95 Typical High $8,912.51 | Professional | None | $2,187.76 | $6,165.95 | $8,912.51 |
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 $1,318.26 Median $2,630.27 Typical High $6,165.95 | Professional | None | $1,318.26 | $2,630.27 | $6,165.95 |
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 $630.96 Median $630.96 Typical High $6,918.31 | Professional | 52 · Reduced service | $630.96 | $630.96 | $6,918.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $2,754.23 | Professional | 53 · Discontinued | $251.19 | $251.19 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $10,232.93 | Professional | 54 · Surgery only | $933.25 | $933.25 | $10,232.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $2,041.74 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $2,041.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $1,380.38 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $1,380.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $9,549.93 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $9,549.93 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,380.38 Typical High $1,905.46 | Professional | 51 · Multiple procedures | $1,000.00 | $1,380.38 | $1,905.46 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,187.76 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,584.89 | $2,187.76 | $3,019.95 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $549.54 Typical High $758.58 | Professional | 55 · Aftercare only | $398.11 | $549.54 | $758.58 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,290.87 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,290.87 | $3,162.28 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $316.23 Median $436.52 Typical High $602.56 | Professional | 81 · Minimal assistant surgeon | $316.23 | $436.52 | $602.56 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $316.23 Median $436.52 Typical High $602.56 | Professional | 82 · Assistant surgeon, no resident | $316.23 | $436.52 | $602.56 |
Where Wisconsin sits
The same service costs 7.4 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
$4,266
AK $5,248TX $708
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.