How much rates vary
Facilitymedian $5,623 · 10th to 90th $813 to $16,218Professionalmedian $4,365 · 10th to 90th $2,344 to $16,982
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 $2,344.23 Median $2,344.23 Typical High $14,454.40 | Facility | None | $2,344.23 | $2,344.23 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $19,498.45 | Professional | None | $2,344.23 | $2,344.23 | $19,498.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,748.98 | Facility | None | $5,011.87 | $8,317.64 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $6,918.31 Typical High $16,595.87 | Professional | None | $2,137.96 | $6,918.31 | $16,595.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $4,365.16 Typical High $10,471.29 | Professional | 62 · Two surgeons | $1,348.96 | $4,365.16 | $10,471.29 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $1,096.48 Typical High $2,691.53 | Professional | 80 · Assistant surgeon | $346.74 | $1,096.48 | $2,691.53 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $977.24 Typical High $2,344.23 | Professional | AS · PA/NP assist | $302.00 | $977.24 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,495.41 Typical High $8,511.38 | Facility | None | $812.83 | $5,495.41 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $8,912.51 | Professional | None | $2,691.53 | $3,981.07 | $8,912.51 |
DeanCare Setting Facility Modifier None Typical Low $2,344.23 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,344.23 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $7,413.10 | Professional | None | $3,715.35 | $4,365.16 | $7,413.10 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $2,344.23 Median $2,754.23 Typical High $4,677.35 | Professional | 62 · Two surgeons | $2,344.23 | $2,754.23 | $4,677.35 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $588.84 Median $691.83 Typical High $1,174.90 | Professional | 80 · Assistant surgeon | $588.84 | $691.83 | $1,174.90 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $616.60 Typical High $1,047.13 | Professional | AS · PA/NP assist | $512.86 | $616.60 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,511.89 Typical High $18,197.01 | Facility | None | $436.52 | $2,511.89 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $6,918.31 Typical High $18,620.87 | Professional | None | $2,511.89 | $6,918.31 | $18,620.87 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,162.28 | $4,365.16 |
Network Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,897.79 Typical High $6,309.57 | Professional | None | $2,951.21 | $4,897.79 | $6,309.57 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $4,677.35 | Facility | None | $1,949.84 | $2,344.23 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $9,120.11 | Professional | None | $2,344.23 | $4,786.30 | $9,120.11 |
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 $3,090.30 Median $3,981.07 Typical High $5,011.87 | Professional | None | $3,090.30 | $3,981.07 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | None | $7,943.28 | $7,943.28 | $7,943.28 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $11,748.98 | Professional | None | $6,918.31 | $9,332.54 | $11,748.98 |
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 $2,238.72 Median $3,715.35 Typical High $10,000.00 | Professional | None | $2,238.72 | $3,715.35 | $10,000.00 |
8 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 54 · Surgery only Typical Low $1,778.28 Median $1,778.28 Typical High $14,791.08 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $14,791.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $13,803.84 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $13,803.84 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,862.09 Median $2,187.76 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $1,862.09 | $2,187.76 | $3,715.35 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,467.37 Typical High $5,888.44 | Professional | 54 · Surgery only | $2,951.21 | $3,467.37 | $5,888.44 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $870.96 Typical High $1,479.11 | Professional | 55 · Aftercare only | $741.31 | $870.96 | $1,479.11 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,090.30 Median $3,630.78 Typical High $6,165.95 | Professional | 78 · Unplanned return to OR | $3,090.30 | $3,630.78 | $6,165.95 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $588.84 Median $691.83 Typical High $1,174.90 | Professional | 81 · Minimal assistant surgeon | $588.84 | $691.83 | $1,174.90 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $588.84 Median $691.83 Typical High $1,174.90 | Professional | 82 · Assistant surgeon, no resident | $588.84 | $691.83 | $1,174.90 |
Where Wisconsin sits
The same service costs 21.9 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· 7th of 51
$4,365
AK $7,586TX $347
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.