How much rates vary
Facilitymedian $7,943 · 10th to 90th $891 to $18,197Professionalmedian $3,467 · 10th to 90th $1,318 to $7,079
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 $1,380.38 Median $1,380.38 Typical High $14,454.40 | Facility | None | $1,380.38 | $1,380.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $10,964.78 | Professional | None | $1,380.38 | $1,380.38 | $10,964.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $18,620.87 | Facility | None | $9,120.11 | $12,302.69 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $4,073.80 Typical High $7,413.10 | Professional | None | $1,348.96 | $4,073.80 | $7,413.10 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $2,570.40 Typical High $4,677.35 | Professional | 62 · Two surgeons | $851.14 | $2,570.40 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $660.69 Typical High $1,202.26 | Professional | 80 · Assistant surgeon | $213.80 | $660.69 | $1,202.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $575.44 Typical High $1,047.13 | Professional | AS · PA/NP assist | $186.21 | $575.44 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,818.38 Typical High $4,265.80 | Facility | None | $812.83 | $2,818.38 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,290.87 | $3,801.89 |
DeanCare Setting Facility Modifier None Typical Low $1,258.93 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,258.93 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,715.35 | Professional | None | $1,905.46 | $2,884.03 | $3,715.35 |
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 $1,288.25 Median $3,548.13 Typical High $7,585.78 | Professional | None | $1,288.25 | $3,548.13 | $7,585.78 |
Network Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,238.72 | Facility | None | $1,584.89 | $2,089.30 | $2,238.72 |
Network Health Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,691.53 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,344.23 | Facility | None | $977.24 | $1,288.25 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $2,818.38 Typical High $4,677.35 | Professional | None | $1,230.27 | $2,818.38 | $4,677.35 |
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 $1,862.09 Median $1,862.09 Typical High $3,548.13 | Professional | None | $1,862.09 | $1,862.09 | $3,548.13 |
Security Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $5,495.41 Typical High $6,456.54 | Professional | None | $2,754.23 | $5,495.41 | $6,456.54 |
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 $1,096.48 Median $3,235.94 Typical High $5,248.07 | Professional | None | $1,096.48 | $3,235.94 | $5,248.07 |
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 $691.83 Median $691.83 Typical High $5,495.41 | Professional | 52 · Reduced service | $691.83 | $691.83 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $2,187.76 | Professional | 53 · Discontinued | $275.42 | $275.42 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $8,317.64 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $8,317.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $1,659.59 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $7,762.47 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $7,762.47 |
Where Wisconsin sits
The same service costs 6.8 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
$3,802
AK $4,571TX $676
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.