How much rates vary
Facilitymedian $6,607 · 10th to 90th $813 to $17,783Professionalmedian $6,310 · 10th to 90th $2,239 to $12,589
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 $2,454.71 Median $2,454.71 Typical High $14,454.40 | Facility | None | $2,454.71 | $2,454.71 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $22,908.68 | Professional | None | $2,454.71 | $2,454.71 | $22,908.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,715.19 Typical High $18,620.87 | Facility | None | $6,309.57 | $10,715.19 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $7,413.10 Typical High $13,182.57 | Professional | None | $2,398.83 | $7,413.10 | $13,182.57 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,513.56 Median $4,677.35 Typical High $8,317.64 | Professional | 62 · Two surgeons | $1,513.56 | $4,677.35 | $8,317.64 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $1,174.90 Typical High $2,137.96 | Professional | 80 · Assistant surgeon | $389.05 | $1,174.90 | $2,137.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $1,047.13 Typical High $1,862.09 | Professional | AS · PA/NP assist | $338.84 | $1,047.13 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,011.87 Typical High $7,762.47 | Facility | None | $812.83 | $5,011.87 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $6,918.31 | Professional | None | $2,570.40 | $4,073.80 | $6,918.31 |
DeanCare Setting Facility Modifier None Typical Low $2,089.30 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,089.30 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $6,456.54 | Professional | None | $3,467.37 | $5,128.61 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $6,309.57 Typical High $13,489.63 | Professional | None | $2,238.72 | $6,309.57 | $13,489.63 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,884.03 | $3,981.07 |
Network Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $6,456.54 | Professional | None | $2,818.38 | $4,786.30 | $6,456.54 |
Prevea360 Setting Facility Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,778.28 | $2,238.72 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $8,317.64 | Professional | None | $1,905.46 | $4,365.16 | $8,317.64 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $6,309.57 | Professional | None | $2,630.27 | $2,630.27 | $6,309.57 |
Security Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Security Health Setting Professional Modifier None Typical Low $4,897.79 Median $9,772.37 Typical High $11,481.54 | Professional | None | $4,897.79 | $9,772.37 | $11,481.54 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $5,623.41 Typical High $9,120.11 | Professional | None | $1,737.80 | $5,623.41 | $9,120.11 |
6 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 $1,230.27 Median $1,230.27 Typical High $11,481.54 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $11,481.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $4,570.88 | Professional | 53 · Discontinued | $489.78 | $489.78 | $4,570.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $17,378.01 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $17,378.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $3,467.37 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $3,467.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $2,290.87 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $16,218.10 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $16,218.10 |
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
$6,310
AK $7,762TX $1,000
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.