How much rates vary
Facilitymedian $2,754 · 10th to 90th $282 to $10,471Professionalmedian $204 · 10th to 90th $110 to $851
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 $109.65 Median $109.65 Typical High $14,454.40 | Facility | None | $109.65 | $109.65 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $1,096.48 | Professional | None | $109.65 | $109.65 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $2,818.38 Typical High $5,495.41 | Facility | None | $812.83 | $2,818.38 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $812.83 | Professional | None | $104.71 | $331.13 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $1,584.89 | Facility | None | $257.04 | $338.84 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $416.87 | Professional | None | $154.88 | $186.21 | $416.87 |
DeanCare Setting Facility Modifier None Typical Low $109.65 Median $7,943.28 Typical High $14,454.40 | Facility | None | $109.65 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $354.81 | Professional | None | $173.78 | $204.17 | $354.81 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $2,454.71 Typical High $18,197.01 | Facility | None | $257.04 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $389.05 Typical High $1,071.52 | Professional | None | $125.89 | $389.05 | $1,071.52 |
Network Health Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $2,089.30 | Facility | None | $147.91 | $218.78 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $316.23 | Professional | None | $138.04 | $245.47 | $316.23 |
Prevea360 Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $218.78 | Facility | None | $91.20 | $117.49 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $426.58 | Professional | None | $104.71 | $208.93 | $426.58 |
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 $169.82 Median $186.21 Typical High $234.42 | Professional | None | $169.82 | $186.21 | $234.42 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $562.34 | Professional | None | $338.84 | $446.68 | $562.34 |
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 $109.65 Median $181.97 Typical High $467.74 | Professional | None | $109.65 | $181.97 | $467.74 |
9 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 $54.95 Median $54.95 Typical High $537.03 | Professional | 52 · Reduced service | $54.95 | $54.95 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $218.78 | Professional | 53 · Discontinued | $21.88 | $21.88 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $812.83 | Professional | 54 · Surgery only | $83.18 | $83.18 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $162.18 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $109.65 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $109.65 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $32.36 Typical High $57.54 | Professional | 80 · Assistant surgeon | $27.54 | $32.36 | $57.54 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $32.36 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $27.54 | $32.36 | $57.54 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $32.36 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $32.36 | $57.54 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $28.18 Typical High $50.12 | Professional | AS · PA/NP assist | $23.99 | $28.18 | $50.12 |
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· 3rd of 51
$245
AK $427NJ $97.72
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.