How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,479 to $18,621Professionalmedian $2,630 · 10th to 90th $1,023 to $7,586
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 $1,023.29 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,023.29 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $12,302.69 | Professional | None | $1,023.29 | $1,023.29 | $12,302.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $14,791.08 Typical High $22,387.21 | Facility | None | $10,964.78 | $14,791.08 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $3,715.35 Typical High $7,762.47 | Professional | None | $1,000.00 | $3,715.35 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $5,495.41 Typical High $11,481.54 | Professional | 50 · Both sides | $1,513.56 | $5,495.41 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $3,630.78 Typical High $9,332.54 | Facility | None | $1,023.29 | $3,630.78 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $4,786.30 | Professional | None | $1,659.59 | $1,862.09 | $4,786.30 |
DeanCare Setting Facility Modifier None Typical Low $1,148.15 Median $6,606.93 Typical High $12,589.25 | Facility | None | $1,148.15 | $6,606.93 | $12,589.25 |
DeanCare Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,238.72 | $3,235.94 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,388.44 Typical High $4,897.79 | Professional | 50 · Both sides | $2,754.23 | $3,388.44 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $8,317.64 Typical High $17,378.01 | Facility | None | $1,230.27 | $8,317.64 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $2,691.53 Typical High $7,762.47 | Professional | None | $1,122.02 | $2,691.53 | $7,762.47 |
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 $1,288.25 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,288.25 | $2,454.71 | $3,162.28 |
Prevea360 Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,137.96 | Facility | None | $954.99 | $1,148.15 | $2,137.96 |
Quartz Setting Professional Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $4,466.84 | Professional | None | $1,096.48 | $2,511.89 | $4,466.84 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $6,165.95 Typical High $10,232.93 | Facility | None | $812.83 | $6,165.95 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,398.83 | Professional | None | $1,862.09 | $1,862.09 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Security Health Setting Professional Modifier None Typical Low $2,630.27 Median $5,248.07 Typical High $7,244.36 | Professional | None | $2,630.27 | $5,248.07 | $7,244.36 |
The Alliance Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
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 $1,096.48 Median $2,137.96 Typical High $5,128.61 | Professional | None | $1,096.48 | $2,137.96 | $5,128.61 |
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 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $9,332.54 | Professional | 54 · Surgery only | $758.58 | $758.58 | $9,332.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $1,862.09 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $1,862.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $1,230.27 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $8,709.64 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $8,709.64 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $912.01 Median $1,122.02 Typical High $1,621.81 | Professional | 51 · Multiple procedures | $912.01 | $1,122.02 | $1,621.81 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,778.28 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,445.44 | $1,778.28 | $2,570.40 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $446.68 Typical High $645.65 | Professional | 55 · Aftercare only | $363.08 | $446.68 | $645.65 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,862.09 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,862.09 | $2,691.53 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $354.81 Typical High $512.86 | Professional | 80 · Assistant surgeon | $295.12 | $354.81 | $512.86 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $354.81 Typical High $512.86 | Professional | 81 · Minimal assistant surgeon | $295.12 | $354.81 | $512.86 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $354.81 Typical High $512.86 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $354.81 | $512.86 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $316.23 Typical High $457.09 | Professional | AS · PA/NP assist | $257.04 | $316.23 | $457.09 |
Where Wisconsin sits
The same service costs 7.6 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
$3,631
AK $4,266TX $562
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.