How much rates vary
Facilitymedian $6,761 · 10th to 90th $912 to $16,982Professionalmedian $3,802 · 10th to 90th $1,413 to $8,710
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 $1,412.54 Median $1,412.54 Typical High $14,454.40 | Facility | None | $1,412.54 | $1,412.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $14,125.38 | Professional | None | $1,412.54 | $1,412.54 | $14,125.38 |
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 $1,202.26 Median $4,265.80 Typical High $9,120.11 | Professional | None | $1,202.26 | $4,265.80 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $6,456.54 Typical High $13,489.63 | Professional | 50 · Both sides | $1,819.70 | $6,456.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $2,691.53 Typical High $5,623.41 | Professional | 62 · Two surgeons | $758.58 | $2,691.53 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $691.83 Typical High $1,412.54 | Professional | 80 · Assistant surgeon | $194.98 | $691.83 | $1,412.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $602.56 Typical High $1,258.93 | Professional | AS · PA/NP assist | $169.82 | $602.56 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $4,168.69 | Facility | None | $812.83 | $2,691.53 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $5,754.40 | Professional | None | $1,819.70 | $3,311.31 | $5,754.40 |
DeanCare Setting Facility Modifier None Typical Low $1,230.27 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,230.27 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,238.72 | $2,754.23 | $3,801.89 |
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 $1,445.44 Median $3,890.45 Typical High $6,165.95 | Professional | None | $1,445.44 | $3,890.45 | $6,165.95 |
Network Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $2,630.27 | Facility | None | $1,548.82 | $2,089.30 | $2,630.27 |
Network Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,691.53 | $3,715.35 |
Prevea360 Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,344.23 | Facility | None | $954.99 | $1,318.26 | $2,344.23 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $4,897.79 | Professional | None | $1,148.15 | $2,630.27 | $4,897.79 |
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 $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Security Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $7,244.36 Typical High $7,762.47 | Professional | None | $5,011.87 | $7,244.36 | $7,762.47 |
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 $1,288.25 Median $3,890.45 Typical High $6,025.60 | Professional | None | $1,288.25 | $3,890.45 | $6,025.60 |
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 $7,079.46 | Professional | 52 · Reduced service | $691.83 | $691.83 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $2,818.38 | Professional | 53 · Discontinued | $281.84 | $281.84 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $10,471.29 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $10,471.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $2,089.30 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $2,089.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $1,412.54 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $9,772.37 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $9,772.37 |
Where Wisconsin sits
The same service costs 5.4 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 $832
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.