How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,148 to $13,804Professionalmedian $813 · 10th to 90th $447 to $3,311
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 $446.68 Median $8,511.38 Typical High $14,454.40 | Facility | None | $446.68 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $4,570.88 | Professional | None | $416.87 | $446.68 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $1,380.38 Typical High $3,235.94 | Professional | None | $501.19 | $1,380.38 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,047.13 | $3,019.95 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,698.24 | Professional | None | $549.54 | $758.58 | $1,698.24 |
DeanCare Setting Facility Modifier None Typical Low $467.74 Median $3,162.28 Typical High $5,888.44 | Facility | None | $467.74 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,380.38 | Professional | None | $691.83 | $812.83 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $5,623.41 Typical High $13,803.84 | Facility | None | $851.14 | $5,623.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,548.82 Typical High $3,311.31 | Professional | None | $501.19 | $1,548.82 | $3,311.31 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,288.25 | Professional | None | $562.34 | $1,000.00 | $1,288.25 |
Prevea360 Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $933.25 | Facility | None | $436.52 | $549.54 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $1,737.80 | Professional | None | $398.11 | $812.83 | $1,737.80 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $7,585.78 Typical High $12,589.25 | Facility | None | $1,995.26 | $7,585.78 | $12,589.25 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $933.25 | Professional | None | $575.44 | $758.58 | $933.25 |
Security Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,778.28 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $1,862.09 | Professional | None | $426.58 | $724.44 | $1,862.09 |
10 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 $208.93 Median $223.87 Typical High $2,238.72 | Professional | 52 · Reduced service | $208.93 | $223.87 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $89.13 Typical High $912.01 | Professional | 53 · Discontinued | $83.18 | $89.13 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $331.13 Typical High $3,388.44 | Professional | 54 · Surgery only | $316.23 | $331.13 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $66.07 Typical High $676.08 | Professional | 55 · Aftercare only | $63.10 | $66.07 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $44.67 Typical High $457.09 | Professional | 56 · Pre-op care only | $41.69 | $44.67 | $457.09 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $407.38 Typical High $691.83 | Professional | 51 · Multiple procedures | $346.74 | $407.38 | $691.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $131.83 Typical High $218.78 | Professional | 80 · Assistant surgeon | $112.20 | $131.83 | $218.78 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $131.83 Typical High $218.78 | Professional | 81 · Minimal assistant surgeon | $112.20 | $131.83 | $218.78 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $131.83 Typical High $218.78 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $131.83 | $218.78 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $114.82 Typical High $190.55 | Professional | AS · PA/NP assist | $97.72 | $114.82 | $190.55 |
Where Wisconsin sits
The same service costs 4.5 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· 3rd of 51
$1,072
AK $1,622TX $363
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.