How much rates vary
Facilitymedian $5,129 · 10th to 90th $603 to $16,218Professionalmedian $741 · 10th to 90th $398 to $2,754
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 $398.11 Median $398.11 Typical High $14,454.40 | Facility | None | $398.11 | $398.11 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $3,715.35 | Professional | None | $398.11 | $398.11 | $3,715.35 |
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 $380.19 Median $1,174.90 Typical High $2,818.38 | Professional | None | $380.19 | $1,174.90 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $239.88 Median $741.31 Typical High $1,819.70 | Professional | 62 · Two surgeons | $239.88 | $741.31 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $190.55 Typical High $457.09 | Professional | 80 · Assistant surgeon | $61.66 | $190.55 | $457.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $165.96 Typical High $407.38 | Professional | AS · PA/NP assist | $53.70 | $165.96 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,905.46 | Facility | None | $812.83 | $1,047.13 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,513.56 | Professional | None | $562.34 | $676.08 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $398.11 Median $7,943.28 Typical High $14,791.08 | Facility | None | $398.11 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,258.93 | Professional | None | $616.60 | $724.44 | $1,258.93 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $389.05 Median $457.09 Typical High $794.33 | Professional | 62 · Two surgeons | $389.05 | $457.09 | $794.33 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | 80 · Assistant surgeon | $100.00 | $117.49 | $204.17 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $102.33 Typical High $177.83 | Professional | AS · PA/NP assist | $87.10 | $102.33 | $177.83 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $2,454.71 Typical High $18,197.01 | Facility | None | $407.38 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $1,380.38 Typical High $2,754.23 | Professional | None | $446.68 | $1,380.38 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $2,089.30 | Facility | None | $537.03 | $741.31 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,071.52 | Professional | None | $501.19 | $831.76 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $794.33 | Facility | None | $323.59 | $398.11 | $794.33 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $794.33 Typical High $1,548.82 | Professional | None | $380.19 | $794.33 | $1,548.82 |
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 $602.56 Median $676.08 Typical High $831.76 | Professional | None | $602.56 | $676.08 | $831.76 |
Security Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,584.89 | $1,995.26 |
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 $389.05 Median $660.69 Typical High $1,698.24 | Professional | None | $389.05 | $660.69 | $1,698.24 |
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 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $2,754.23 | Professional | 54 · Surgery only | $295.12 | $295.12 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $549.54 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $371.54 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $371.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $363.08 Typical High $630.96 | Professional | 51 · Multiple procedures | $309.03 | $363.08 | $630.96 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $100.00 | $117.49 | $204.17 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $117.49 | $204.17 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 4th of 51
$832
AK $1,514NJ $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.