How much rates vary
Facilitymedian $9,550 · 10th to 90th $832 to $22,387Professionalmedian $8,511 · 10th to 90th $3,090 to $17,783
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 $3,090.30 Median $3,090.30 Typical High $14,454.40 | Facility | None | $3,090.30 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $30,902.95 | Professional | None | $3,090.30 | $3,090.30 | $30,902.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,182.57 Median $18,620.87 Typical High $25,703.96 | Facility | None | $13,182.57 | $18,620.87 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $9,772.37 Typical High $18,620.87 | Professional | None | $2,691.53 | $9,772.37 | $18,620.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $436.52 Median $1,548.82 Typical High $3,019.95 | Professional | 80 · Assistant surgeon | $436.52 | $1,548.82 | $3,019.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $380.19 Median $1,348.96 Typical High $2,630.27 | Professional | AS · PA/NP assist | $380.19 | $1,348.96 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,025.60 Typical High $9,120.11 | Facility | None | $758.58 | $6,025.60 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $7,413.10 Typical High $12,882.50 | Professional | None | $4,073.80 | $7,413.10 | $12,882.50 |
DeanCare Setting Facility Modifier None Typical Low $2,754.23 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,754.23 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $5,011.87 Median $6,165.95 Typical High $8,317.64 | Professional | None | $5,011.87 | $6,165.95 | $8,317.64 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,691.53 Typical High $18,197.01 | Facility | None | $436.52 | $2,691.53 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $3,162.28 Median $8,511.38 Typical High $14,125.38 | Professional | None | $3,162.28 | $8,511.38 | $14,125.38 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,548.13 | Facility | None | $2,089.30 | $2,089.30 | $3,548.13 |
Network Health Setting Professional Modifier None Typical Low $3,388.44 Median $5,888.44 Typical High $10,715.19 | Professional | None | $3,388.44 | $5,888.44 | $10,715.19 |
Prevea360 Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $5,370.32 | Facility | None | $2,137.96 | $2,754.23 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $2,570.40 Median $5,888.44 Typical High $10,964.78 | Professional | None | $2,570.40 | $5,888.44 | $10,964.78 |
Quartz Setting Facility Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,630.78 | Facility | None | $645.65 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,623.41 | Professional | None | $4,073.80 | $4,073.80 | $5,623.41 |
Security Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None | $12,302.69 | $12,302.69 | $12,302.69 |
Security Health Setting Professional Modifier None Typical Low $11,481.54 Median $16,218.10 Typical High $19,054.61 | Professional | None | $11,481.54 | $16,218.10 | $19,054.61 |
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 $8,709.64 Typical High $13,489.63 | Professional | None | $2,884.03 | $8,709.64 | $13,489.63 |
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 $1,548.82 Median $1,548.82 Typical High $15,488.17 | Professional | 52 · Reduced service | $1,548.82 | $1,548.82 | $15,488.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $6,165.95 | Professional | 53 · Discontinued | $630.96 | $630.96 | $6,165.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $22,908.68 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $22,908.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $4,677.35 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $4,677.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $309.03 Typical High $3,090.30 | Professional | 56 · Pre-op care only | $309.03 | $309.03 | $3,090.30 |
Where Wisconsin sits
The same service costs 5.8 times more in Alaska than in Arkansas. 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
$8,710
AK $10,000AR $1,738
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.