How much rates vary
Facilitymedian $8,710 · 10th to 90th $891 to $21,380Professionalmedian $9,120 · 10th to 90th $3,162 to $20,417
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 $3,388.44 Median $3,388.44 Typical High $14,454.40 | Facility | None | $3,388.44 | $3,388.44 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $34,673.69 | Professional | None | $3,388.44 | $3,388.44 | $34,673.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $17,782.79 Typical High $26,302.68 | Facility | None | $12,022.64 | $17,782.79 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $10,471.29 Typical High $22,387.21 | Professional | None | $2,951.21 | $10,471.29 | $22,387.21 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,862.09 Median $6,606.93 Typical High $13,182.57 | Professional | 62 · Two surgeons | $1,862.09 | $6,606.93 | $13,182.57 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $1,659.59 Typical High $3,311.31 | Professional | 80 · Assistant surgeon | $467.74 | $1,659.59 | $3,311.31 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $407.38 Median $1,445.44 Typical High $2,951.21 | Professional | AS · PA/NP assist | $407.38 | $1,445.44 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $6,606.93 Typical High $10,000.00 | Facility | None | $812.83 | $6,606.93 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $7,943.28 Typical High $14,125.38 | Professional | None | $4,365.16 | $7,943.28 | $14,125.38 |
DeanCare Setting Facility Modifier None Typical Low $2,754.23 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,754.23 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $5,370.32 Median $6,760.83 Typical High $8,912.51 | Professional | None | $5,370.32 | $6,760.83 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,754.23 Typical High $18,197.01 | Facility | None | $436.52 | $2,754.23 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $9,332.54 Typical High $15,135.61 | Professional | None | $3,090.30 | $9,332.54 | $15,135.61 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,801.89 Typical High $5,370.32 | Facility | None | $2,089.30 | $3,801.89 | $5,370.32 |
Network Health Setting Professional Modifier None Typical Low $3,715.35 Median $6,309.57 Typical High $8,511.38 | Professional | None | $3,715.35 | $6,309.57 | $8,511.38 |
Prevea360 Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $5,623.41 | Facility | None | $2,290.87 | $2,951.21 | $5,623.41 |
Quartz Setting Professional Modifier None Typical Low $2,818.38 Median $6,456.54 Typical High $11,748.98 | Professional | None | $2,818.38 | $6,456.54 | $11,748.98 |
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 $4,365.16 Median $4,365.16 Typical High $6,025.60 | Professional | None | $4,365.16 | $4,365.16 | $6,025.60 |
Security Health Setting Professional Modifier None Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | None | $13,182.57 | $13,182.57 | $13,182.57 |
Security Health Setting Professional Modifier None Typical Low $12,302.69 Median $16,595.87 Typical High $18,620.87 | Professional | None | $12,302.69 | $16,595.87 | $18,620.87 |
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 $2,884.03 Median $9,332.54 Typical High $14,454.40 | Professional | None | $2,884.03 | $9,332.54 | $14,454.40 |
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 $1,698.24 Median $1,698.24 Typical High $17,378.01 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $17,378.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $7,079.46 | Professional | 53 · Discontinued | $676.08 | $676.08 | $7,079.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,511.89 Typical High $26,302.68 | Professional | 54 · Surgery only | $2,511.89 | $2,511.89 | $26,302.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $5,248.07 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $5,248.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $3,467.37 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $3,467.37 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,344.23 Typical High $24,547.09 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,344.23 | $24,547.09 |
Where Wisconsin sits
The same service costs 6.8 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $22,738WA $3,338
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.