How much rates vary
Facilitymedian $8,318 · 10th to 90th $891 to $18,197Professionalmedian $7,413 · 10th to 90th $2,692 to $17,378
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 $2,691.53 Median $2,691.53 Typical High $14,454.40 | Facility | None | $2,691.53 | $2,691.53 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $22,387.21 | Professional | None | $2,691.53 | $2,691.53 | $22,387.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $19,952.62 | Facility | None | $10,000.00 | $12,589.25 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $8,317.64 Typical High $17,782.79 | Professional | None | $2,344.23 | $8,317.64 | $17,782.79 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $5,248.07 Typical High $11,220.18 | Professional | 62 · Two surgeons | $1,479.11 | $5,248.07 | $11,220.18 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $1,318.26 Typical High $2,818.38 | Professional | 80 · Assistant surgeon | $371.54 | $1,318.26 | $2,818.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $1,148.15 Typical High $2,454.71 | Professional | AS · PA/NP assist | $323.59 | $1,148.15 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,128.61 Typical High $7,943.28 | Facility | None | $812.83 | $5,128.61 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $6,309.57 Typical High $11,220.18 | Professional | None | $3,467.37 | $6,309.57 | $11,220.18 |
DeanCare Setting Facility Modifier None Typical Low $2,344.23 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,344.23 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $7,244.36 | Professional | None | $4,265.80 | $5,248.07 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,570.40 Typical High $18,197.01 | Facility | None | $436.52 | $2,570.40 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $7,413.10 Typical High $12,022.64 | Professional | None | $2,630.27 | $7,413.10 | $12,022.64 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,466.84 | Facility | None | $2,089.30 | $3,019.95 | $4,466.84 |
Network Health Setting Professional Modifier None Typical Low $2,951.21 Median $5,011.87 Typical High $6,918.31 | Professional | None | $2,951.21 | $5,011.87 | $6,918.31 |
Prevea360 Setting Facility Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $4,570.88 | Facility | None | $1,819.70 | $2,570.40 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $5,128.61 Typical High $9,332.54 | Professional | None | $2,238.72 | $5,128.61 | $9,332.54 |
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 $3,467.37 Median $3,467.37 Typical High $4,786.30 | Professional | None | $3,467.37 | $3,467.37 | $4,786.30 |
Security Health Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None | $10,471.29 | $10,471.29 | $10,471.29 |
Security Health Setting Professional Modifier None Typical Low $10,232.93 Median $13,182.57 Typical High $14,791.08 | Professional | None | $10,232.93 | $13,182.57 | $14,791.08 |
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 $2,454.71 Median $7,413.10 Typical High $11,481.54 | Professional | None | $2,454.71 | $7,413.10 | $11,481.54 |
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 $1,348.96 Median $1,348.96 Typical High $11,220.18 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $11,220.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $4,466.84 | Professional | 53 · Discontinued | $537.03 | $537.03 | $4,466.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $16,982.44 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $16,982.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $3,388.44 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $3,388.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $2,238.72 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $15,848.93 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $15,848.93 |
Where Wisconsin sits
The same service costs 6.6 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
$7,586
AK $8,710TX $1,318
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.