How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,047 to $15,488Professionalmedian $1,445 · 10th to 90th $550 to $2,884
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 $575.44 Median $6,456.54 Typical High $14,454.40 | Facility | None | $575.44 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $5,370.32 | Professional | None | $575.44 | $575.44 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $12,022.64 Typical High $18,620.87 | Facility | None | $8,128.31 | $12,022.64 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $1,698.24 Typical High $3,090.30 | Professional | None | $549.54 | $1,698.24 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $269.15 Typical High $489.78 | Professional | 80 · Assistant surgeon | $89.13 | $269.15 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $239.88 Typical High $426.58 | Professional | AS · PA/NP assist | $77.62 | $239.88 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,023.29 | $1,949.84 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,778.28 | Professional | None | $724.44 | $1,023.29 | $1,778.28 |
DeanCare Setting Facility Modifier None Typical Low $524.81 Median $4,365.16 Typical High $7,762.47 | Facility | None | $524.81 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,584.89 | Professional | None | $794.33 | $1,174.90 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $6,606.93 Typical High $13,489.63 | Facility | None | $891.25 | $6,606.93 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,479.11 Typical High $3,162.28 | Professional | None | $537.03 | $1,479.11 | $3,162.28 |
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 $645.65 Median $1,122.02 Typical High $1,513.56 | Professional | None | $645.65 | $1,122.02 | $1,513.56 |
Prevea360 Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,000.00 | Facility | None | $407.38 | $537.03 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $489.78 Median $1,122.02 Typical High $1,905.46 | Professional | None | $489.78 | $1,122.02 | $1,905.46 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $8,511.38 Typical High $14,125.38 | Facility | None | $812.83 | $8,511.38 | $14,125.38 |
Quartz Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,479.11 | Professional | None | $758.58 | $776.25 | $1,479.11 |
Security Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $2,691.53 | Professional | None | $1,174.90 | $2,344.23 | $2,691.53 |
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 $446.68 Median $1,380.38 Typical High $2,290.87 | Professional | None | $446.68 | $1,380.38 | $2,290.87 |
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 $2,691.53 | Professional | 52 · Reduced service | $281.84 | $281.84 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $1,071.52 | Professional | 53 · Discontinued | $114.82 | $114.82 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $4,073.80 | Professional | 54 · Surgery only | $426.58 | $426.58 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $812.83 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $537.03 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $537.03 |
Where Wisconsin sits
The same service costs 3.9 times more in Alaska than in New York. 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
$1,905
AK $1,905NY $490
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.