How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,622 to $14,454Professionalmedian $4,074 · 10th to 90th $1,479 to $8,318
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 $1,621.81 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,621.81 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $11,748.98 | Professional | None | $1,621.81 | $1,621.81 | $11,748.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $4,897.79 Typical High $8,912.51 | Professional | None | $1,621.81 | $4,897.79 | $8,912.51 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $3,090.30 Typical High $5,623.41 | Professional | 62 · Two surgeons | $1,023.29 | $3,090.30 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $794.33 Typical High $1,412.54 | Professional | 80 · Assistant surgeon | $257.04 | $794.33 | $1,412.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $691.83 Typical High $1,230.27 | Professional | AS · PA/NP assist | $223.87 | $691.83 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $4,365.16 Typical High $7,585.78 | Facility | None | $1,348.96 | $4,365.16 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,584.89 | $2,754.23 | $4,570.88 |
DeanCare Setting Facility Modifier None Typical Low $1,412.54 Median $5,623.41 Typical High $10,232.93 | Facility | None | $1,412.54 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $3,981.07 | Professional | None | $2,290.87 | $3,388.44 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $6,606.93 Typical High $15,848.93 | Facility | None | $1,230.27 | $6,606.93 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $3,981.07 Typical High $8,709.64 | Professional | None | $1,445.44 | $3,981.07 | $8,709.64 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $1,862.09 Median $3,235.94 Typical High $4,265.80 | Professional | None | $1,862.09 | $3,235.94 | $4,265.80 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,454.71 | Facility | None | $933.25 | $1,412.54 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,288.25 | $2,951.21 | $5,495.41 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $5,011.87 Typical High $8,317.64 | Facility | None | $1,071.52 | $5,011.87 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,168.69 | Professional | None | $1,737.80 | $1,737.80 | $4,168.69 |
Security Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Security Health Setting Professional Modifier None Typical Low $3,090.30 Median $6,165.95 Typical High $7,762.47 | Professional | None | $3,090.30 | $6,165.95 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $3,715.35 Typical High $5,754.40 | Professional | None | $1,174.90 | $3,715.35 | $5,754.40 |
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 $812.83 Median $812.83 Typical High $5,888.44 | Professional | 52 · Reduced service | $812.83 | $812.83 | $5,888.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $2,344.23 | Professional | 53 · Discontinued | $331.13 | $331.13 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $8,709.64 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $8,709.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $1,737.80 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $1,737.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $1,174.90 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $8,128.31 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $8,128.31 |
Where Wisconsin sits
The same service costs 6.6 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
$4,898
AK $5,248TX $794
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.