How much rates vary
Facilitymedian $12,303 · 10th to 90th $1,479 to $21,380Professionalmedian $3,311 · 10th to 90th $1,230 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 $1,230.27 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,230.27 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $14,791.08 | Professional | None | $1,230.27 | $1,230.27 | $14,791.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,220.18 Median $15,848.93 Typical High $23,988.33 | Facility | None | $11,220.18 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $4,466.84 Typical High $9,772.37 | Professional | None | $1,230.27 | $4,466.84 | $9,772.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $6,760.83 Typical High $14,125.38 | Professional | 50 · Both sides | $1,819.70 | $6,760.83 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $5,128.61 Typical High $21,877.62 | Facility | None | $1,023.29 | $5,128.61 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $5,888.44 | Professional | None | $2,041.74 | $2,238.72 | $5,888.44 |
DeanCare Setting Facility Modifier None Typical Low $1,380.38 Median $6,606.93 Typical High $12,589.25 | Facility | None | $1,380.38 | $6,606.93 | $12,589.25 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,691.53 | $3,890.45 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,073.80 Typical High $5,888.44 | Professional | 50 · Both sides | $3,311.31 | $4,073.80 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $8,317.64 Typical High $17,378.01 | Facility | None | $1,318.26 | $8,317.64 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $9,332.54 | Professional | None | $1,380.38 | $3,311.31 | $9,332.54 |
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 $1,548.82 Median $3,019.95 Typical High $3,801.89 | Professional | None | $1,548.82 | $3,019.95 | $3,801.89 |
Prevea360 Setting Facility Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,570.40 | Facility | None | $1,148.15 | $1,380.38 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $5,370.32 | Professional | None | $1,318.26 | $3,019.95 | $5,370.32 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $15,488.17 Typical High $23,442.29 | Facility | None | $812.83 | $15,488.17 | $23,442.29 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,884.03 | Professional | None | $2,238.72 | $2,238.72 | $2,884.03 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Security Health Setting Professional Modifier None Typical Low $3,162.28 Median $6,309.57 Typical High $8,912.51 | Professional | None | $3,162.28 | $6,309.57 | $8,912.51 |
The Alliance Setting Professional Modifier None Typical Low $1,995.26 Median $5,623.41 Typical High $8,511.38 | Professional | None | $1,995.26 | $5,623.41 | $8,511.38 |
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 $2,570.40 Typical High $6,165.95 | Professional | None | $1,318.26 | $2,570.40 | $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 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $11,220.18 | Professional | 54 · Surgery only | $933.25 | $933.25 | $11,220.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $2,238.72 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $2,238.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $1,479.11 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $10,471.29 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $10,471.29 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,348.96 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $1,096.48 | $1,348.96 | $1,949.84 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $2,187.76 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,778.28 | $2,187.76 | $3,090.30 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $537.03 Typical High $776.25 | Professional | 55 · Aftercare only | $436.52 | $537.03 | $776.25 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,290.87 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,290.87 | $3,311.31 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $436.52 Typical High $630.96 | Professional | 80 · Assistant surgeon | $354.81 | $436.52 | $630.96 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $436.52 Typical High $630.96 | Professional | 81 · Minimal assistant surgeon | $354.81 | $436.52 | $630.96 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $436.52 Typical High $630.96 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $436.52 | $630.96 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $380.19 Typical High $549.54 | Professional | AS · PA/NP assist | $309.03 | $380.19 | $549.54 |
Where Wisconsin sits
The same service costs 8.1 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
$4,365
AK $5,248TX $646
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.