How much rates vary
Facilitymedian $6,607 · 10th to 90th $813 to $17,783Professionalmedian $6,761 · 10th to 90th $2,399 to $13,490
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 $2,630.27 Median $2,630.27 Typical High $14,454.40 | Facility | None | $2,630.27 | $2,630.27 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $25,118.86 | Professional | None | $2,630.27 | $2,630.27 | $25,118.86 |
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 $2,630.27 Median $7,943.28 Typical High $14,454.40 | Professional | None | $2,630.27 | $7,943.28 | $14,454.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,659.59 Median $5,011.87 Typical High $9,120.11 | Professional | 62 · Two surgeons | $1,659.59 | $5,011.87 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $1,288.25 Typical High $2,290.87 | Professional | 80 · Assistant surgeon | $416.87 | $1,288.25 | $2,290.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $1,122.02 Typical High $1,995.26 | Professional | AS · PA/NP assist | $363.08 | $1,122.02 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,495.41 Typical High $8,317.64 | Facility | None | $812.83 | $5,495.41 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,413.10 | Professional | None | $2,754.23 | $4,365.16 | $7,413.10 |
DeanCare Setting Facility Modifier None Typical Low $2,290.87 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,290.87 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $6,918.31 | Professional | None | $3,715.35 | $5,495.41 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,570.40 Typical High $18,197.01 | Facility | None | $436.52 | $2,570.40 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $6,760.83 Typical High $14,454.40 | Professional | None | $2,398.83 | $6,760.83 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $4,265.80 | Facility | None | $2,089.30 | $3,090.30 | $4,265.80 |
Network Health Setting Professional Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $7,079.46 | Professional | None | $3,019.95 | $5,248.07 | $7,079.46 |
Prevea360 Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $4,265.80 | Facility | None | $1,905.46 | $2,454.71 | $4,265.80 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $4,677.35 Typical High $8,912.51 | Professional | None | $2,041.74 | $4,677.35 | $8,912.51 |
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 $2,818.38 Median $2,818.38 Typical High $6,918.31 | Professional | None | $2,818.38 | $2,818.38 | $6,918.31 |
Security Health 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 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $10,715.19 Typical High $12,589.25 | Professional | None | $5,370.32 | $10,715.19 | $12,589.25 |
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 $1,862.09 Median $6,025.60 Typical High $10,000.00 | Professional | None | $1,862.09 | $6,025.60 | $10,000.00 |
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 $1,318.26 Median $1,318.26 Typical High $12,589.25 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $12,589.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $5,011.87 | Professional | 53 · Discontinued | $537.03 | $537.03 | $5,011.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $18,620.87 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $18,620.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $3,715.35 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $3,715.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $2,511.89 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $17,378.01 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $17,378.01 |
Where Wisconsin sits
The same service costs 22.9 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
$6,607
AK $8,511TX $372
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.