How much rates vary
Facilitymedian $6,310 · 10th to 90th $813 to $17,783Professionalmedian $4,266 · 10th to 90th $1,622 to $8,511
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 $1,659.59 Median $1,659.59 Typical High $14,454.40 | Facility | None | $1,659.59 | $1,659.59 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $13,182.57 | Professional | None | $1,659.59 | $1,659.59 | $13,182.57 |
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 $1,621.81 Median $5,011.87 Typical High $9,120.11 | Professional | None | $1,621.81 | $5,011.87 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $794.33 Typical High $1,445.44 | Professional | 80 · Assistant surgeon | $263.03 | $794.33 | $1,445.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $691.83 Typical High $1,258.93 | Professional | AS · PA/NP assist | $229.09 | $691.83 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,388.44 Typical High $5,248.07 | Facility | None | $812.83 | $3,388.44 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $5,248.07 | Professional | None | $1,778.28 | $2,818.38 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,548.82 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,344.23 | $3,467.37 | $4,570.88 |
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 $1,584.89 Median $4,265.80 Typical High $9,332.54 | Professional | None | $1,584.89 | $4,265.80 | $9,332.54 |
Network Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,691.53 | Facility | None | $1,949.84 | $2,089.30 | $2,691.53 |
Network Health Setting Professional Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $4,466.84 | Professional | None | $1,905.46 | $3,311.31 | $4,466.84 |
Prevea360 Setting Facility Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,884.03 | Facility | None | $1,202.26 | $1,584.89 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $5,623.41 | Professional | None | $1,479.11 | $3,388.44 | $5,623.41 |
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 $1,778.28 Median $1,778.28 Typical High $4,265.80 | Professional | None | $1,778.28 | $1,778.28 | $4,265.80 |
Security Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Security Health Setting Professional Modifier None Typical Low $3,235.94 Median $6,606.93 Typical High $7,762.47 | Professional | None | $3,235.94 | $6,606.93 | $7,762.47 |
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 $1,318.26 Median $3,981.07 Typical High $6,309.57 | Professional | None | $1,318.26 | $3,981.07 | $6,309.57 |
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 $831.76 Median $831.76 Typical High $6,606.93 | Professional | 52 · Reduced service | $831.76 | $831.76 | $6,606.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $2,630.27 | Professional | 53 · Discontinued | $331.13 | $331.13 | $2,630.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $9,772.37 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $9,772.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $1,949.84 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $1,949.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $1,318.26 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $9,120.11 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $9,120.11 |
Where Wisconsin sits
The same service costs 7.4 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
$4,467
AK $5,623TX $759
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.