How much rates vary
Facilitymedian $1,230 · 10th to 90th $132 to $3,802Professionalmedian $257 · 10th to 90th $115 to $759
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 $107.15 Median $120.23 Typical High $14,454.40 | Facility | None | $107.15 | $120.23 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $851.14 | Professional | None | $97.72 | $114.82 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $371.54 Typical High $794.33 | Professional | None | $114.82 | $371.54 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $549.54 Typical High $1,202.26 | Professional | 50 · Both sides | $169.82 | $549.54 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $208.93 Typical High $389.05 | Facility | None | $50.12 | $208.93 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $501.19 | Professional | None | $181.97 | $218.78 | $501.19 |
DeanCare Setting Facility Modifier None Typical Low $120.23 Median $2,630.27 Typical High $5,128.61 | Facility | None | $120.23 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $331.13 | Professional | None | $190.55 | $234.42 | $331.13 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $346.74 Typical High $501.19 | Professional | 50 · Both sides | $288.40 | $346.74 | $501.19 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $912.01 Typical High $1,778.28 | Facility | None | $144.54 | $912.01 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $457.09 Typical High $891.25 | Professional | None | $125.89 | $457.09 | $891.25 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $354.81 | Professional | None | $154.88 | $275.42 | $354.81 |
Prevea360 Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $223.87 | Facility | None | $102.33 | $134.90 | $223.87 |
Quartz Setting Professional Modifier None Typical Low $177.83 Median $302.00 Typical High $478.63 | Professional | None | $177.83 | $302.00 | $478.63 |
Quartz Setting Facility Modifier None Typical Low $50.12 Median $151.36 Typical High $229.09 | Facility | None | $50.12 | $151.36 | $229.09 |
Quartz Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $263.03 | Professional | None | $194.98 | $218.78 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | None | $323.59 | $323.59 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $776.25 | Professional | None | $338.84 | $588.84 | $776.25 |
The Alliance Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None Typical Low $112.20 Median $234.42 Typical High $549.54 | Professional | None | $112.20 | $234.42 | $549.54 |
20 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 Facility Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $60.26 | Facility | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $24.55 | Facility | 53 · Discontinued | $21.38 | $21.38 | $24.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $91.20 | Facility | 54 · Surgery only | $79.43 | $79.43 | $91.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $18.20 | Facility | 55 · Aftercare only | $15.85 | $15.85 | $18.20 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $12.02 | Facility | 56 · Pre-op care only | $10.72 | $10.72 | $12.02 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $74.13 Typical High $85.11 | Facility | 78 · Unplanned return to OR | $74.13 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $60.26 Typical High $457.09 | Professional | 52 · Reduced service | $53.70 | $60.26 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $181.97 | Professional | 53 · Discontinued | $21.38 | $24.55 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $91.20 Typical High $676.08 | Professional | 54 · Surgery only | $79.43 | $91.20 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.20 Typical High $138.04 | Professional | 55 · Aftercare only | $15.85 | $18.20 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.02 Typical High $91.20 | Professional | 56 · Pre-op care only | $10.72 | $12.02 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $85.11 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $74.13 | $85.11 | $630.96 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $117.49 Typical High $165.96 | Professional | 51 · Multiple procedures | $95.50 | $117.49 | $165.96 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $186.21 Typical High $269.15 | Professional | 54 · Surgery only | $151.36 | $186.21 | $269.15 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $46.77 Typical High $66.07 | Professional | 55 · Aftercare only | $38.02 | $46.77 | $66.07 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $158.49 | $194.98 | $281.84 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 80 · Assistant surgeon | $30.20 | $37.15 | $53.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $30.20 | $37.15 | $53.70 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $37.15 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $37.15 | $53.70 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $32.36 Typical High $46.77 | Professional | AS · PA/NP assist | $26.92 | $32.36 | $46.77 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$282
AK $427FL $95.50
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.