How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,698 to $18,621Professionalmedian $4,074 · 10th to 90th $1,585 to $12,023
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 $1,584.89 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,584.89 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $24,547.09 | Professional | None | $1,584.89 | $1,584.89 | $24,547.09 |
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 $1,584.89 Median $5,888.44 Typical High $12,022.64 | Professional | None | $1,584.89 | $5,888.44 | $12,022.64 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $8,912.51 Typical High $18,197.01 | Professional | 50 · Both sides | $2,398.83 | $8,912.51 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $5,623.41 Typical High $9,332.54 | Facility | None | $1,023.29 | $5,623.41 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $7,585.78 | Professional | None | $2,630.27 | $2,884.03 | $7,585.78 |
DeanCare Setting Facility Modifier None Typical Low $1,778.28 Median $6,606.93 Typical High $12,589.25 | Facility | None | $1,778.28 | $6,606.93 | $12,589.25 |
DeanCare Setting Professional Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $5,011.87 | Professional | None | $2,884.03 | $3,548.13 | $5,011.87 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $4,265.80 Median $5,248.07 Typical High $7,585.78 | Professional | 50 · Both sides | $4,265.80 | $5,248.07 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $8,317.64 Typical High $17,378.01 | Facility | None | $1,513.56 | $8,317.64 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $4,168.69 Typical High $12,589.25 | Professional | None | $1,819.70 | $4,168.69 | $12,589.25 |
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 $2,041.74 Median $3,981.07 Typical High $4,897.79 | Professional | None | $2,041.74 | $3,981.07 | $4,897.79 |
Prevea360 Setting Facility Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,513.56 | $1,778.28 | $3,388.44 |
Quartz Setting Professional Modifier None Typical Low $1,659.59 Median $3,890.45 Typical High $7,079.46 | Professional | None | $1,659.59 | $3,890.45 | $7,079.46 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $6,606.93 Typical High $10,232.93 | Facility | None | $812.83 | $6,606.93 | $10,232.93 |
Quartz Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Professional | None | $2,884.03 | $2,884.03 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Security Health Setting Professional Modifier None Typical Low $4,265.80 Median $8,317.64 Typical High $11,481.54 | Professional | None | $4,265.80 | $8,317.64 | $11,481.54 |
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 $1,737.80 Median $3,311.31 Typical High $8,128.31 | Professional | None | $1,737.80 | $3,311.31 | $8,128.31 |
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 $1,202.26 Median $1,202.26 Typical High $18,197.01 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $18,197.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $3,715.35 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $3,715.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $2,454.71 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $2,454.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $16,982.44 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $16,982.44 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,737.80 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $1,412.54 | $1,737.80 | $2,511.89 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,818.38 Typical High $4,073.80 | Professional | 54 · Surgery only | $2,290.87 | $2,818.38 | $4,073.80 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $707.95 Typical High $1,000.00 | Professional | 55 · Aftercare only | $575.44 | $707.95 | $1,000.00 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,951.21 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,951.21 | $4,265.80 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $457.09 Median $562.34 Typical High $812.83 | Professional | 80 · Assistant surgeon | $457.09 | $562.34 | $812.83 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $457.09 Median $562.34 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $457.09 | $562.34 | $812.83 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $457.09 Median $562.34 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $457.09 | $562.34 | $812.83 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $489.78 Typical High $707.95 | Professional | AS · PA/NP assist | $398.11 | $489.78 | $707.95 |
Where Wisconsin sits
The same service costs 7.8 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
$5,370
AK $6,761TX $871
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.