How much rates vary
Facilitymedian $6,026 · 10th to 90th $977 to $13,183Professionalmedian $1,202 · 10th to 90th $437 to $2,630
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 $562.34 Median $562.34 Typical High $14,454.40 | Facility | None | $562.34 | $562.34 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $3,548.13 | Professional | None | $562.34 | $562.34 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $1,380.38 Typical High $2,884.03 | Professional | None | $512.86 | $1,380.38 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $346.74 Median $870.96 Typical High $1,819.70 | Professional | 62 · Two surgeons | $346.74 | $870.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $218.78 Typical High $457.09 | Professional | 80 · Assistant surgeon | $89.13 | $218.78 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $190.55 Typical High $398.11 | Professional | AS · PA/NP assist | $77.62 | $190.55 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,949.84 Typical High $7,585.78 | Facility | None | $1,023.29 | $1,949.84 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,584.89 | Professional | None | $501.19 | $891.25 | $1,584.89 |
DeanCare Setting Facility Modifier None Typical Low $489.78 Median $2,818.38 Typical High $5,128.61 | Facility | None | $489.78 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,479.11 | Professional | None | $794.33 | $1,174.90 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $8,709.64 | Facility | None | $691.83 | $3,162.28 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $1,000.00 Typical High $3,090.30 | Professional | None | $363.08 | $1,000.00 | $3,090.30 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $1,479.11 | Professional | None | $588.84 | $645.65 | $1,479.11 |
Prevea360 Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $912.01 | Facility | None | $380.19 | $512.86 | $912.01 |
Quartz Setting Professional Modifier None Typical Low $416.87 Median $954.99 Typical High $1,905.46 | Professional | None | $416.87 | $954.99 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $5,011.87 Typical High $8,317.64 | Facility | None | $812.83 | $5,011.87 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,445.44 | Professional | None | $602.56 | $602.56 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Security Health Setting Professional Modifier None Typical Low $537.03 Median $2,089.30 Typical High $2,630.27 | Professional | None | $537.03 | $2,089.30 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $346.74 Median $977.24 Typical High $2,041.74 | Professional | None | $346.74 | $977.24 | $2,041.74 |
5 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 $281.84 Median $281.84 Typical High $1,778.28 | Professional | 52 · Reduced service | $281.84 | $281.84 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $707.95 | Professional | 53 · Discontinued | $112.20 | $112.20 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $2,691.53 | Professional | 54 · Surgery only | $426.58 | $426.58 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $537.03 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $354.81 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $354.81 |
Where Wisconsin sits
The same service costs 5.2 times more in Alaska than in Kentucky. 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
$1,585
AK $1,820KY $347
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.