How much rates vary
Facilitymedian $6,761 · 10th to 90th $912 to $16,982Professionalmedian $3,715 · 10th to 90th $1,380 to $9,120
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 $12,882.50 | Professional | None | $1,380.38 | $1,380.38 | $12,882.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,606.93 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $4,265.80 Typical High $9,120.11 | Professional | None | $1,174.90 | $4,265.80 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $6,309.57 Typical High $13,489.63 | Professional | 50 · Both sides | $1,778.28 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $2,691.53 Typical High $5,623.41 | Professional | 62 · Two surgeons | $741.31 | $2,691.53 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $676.08 Typical High $1,445.44 | Professional | 80 · Assistant surgeon | $190.55 | $676.08 | $1,445.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $588.84 Typical High $1,258.93 | Professional | AS · PA/NP assist | $165.96 | $588.84 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,630.27 Typical High $4,073.80 | Facility | None | $812.83 | $2,630.27 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $5,754.40 | Professional | None | $1,778.28 | $3,235.94 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,202.26 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,202.26 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,715.35 | Professional | None | $2,187.76 | $2,691.53 | $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 $1,479.11 Median $3,801.89 Typical High $6,165.95 | Professional | None | $1,479.11 | $3,801.89 | $6,165.95 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $2,570.40 | Facility | None | $1,513.56 | $2,089.30 | $2,570.40 |
Network Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,884.03 | $3,981.07 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $2,290.87 | Facility | None | $933.25 | $1,318.26 | $2,290.87 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $2,570.40 Typical High $4,786.30 | Professional | None | $1,122.02 | $2,570.40 | $4,786.30 |
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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $7,079.46 Typical High $7,585.78 | Professional | None | $5,370.32 | $7,079.46 | $7,585.78 |
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 $1,258.93 Median $3,801.89 Typical High $5,888.44 | Professional | None | $1,258.93 | $3,801.89 | $5,888.44 |
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 $6,456.54 | Professional | 52 · Reduced service | $691.83 | $691.83 | $6,456.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $2,570.40 | Professional | 53 · Discontinued | $275.42 | $275.42 | $2,570.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $9,549.93 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $9,549.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $1,905.46 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $1,905.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $1,288.25 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $1,288.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $8,912.51 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $8,912.51 |
Where Wisconsin sits
The same service costs 4.8 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
$4,169
AK $4,467TX $933
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.