How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,175 to $11,220Professionalmedian $1,202 · 10th to 90th $661 to $5,129
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 $660.69 Median $8,317.64 Typical High $14,454.40 | Facility | None | $660.69 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $7,585.78 | Professional | None | $660.69 | $660.69 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,011.87 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $1,905.46 Typical High $4,265.80 | Professional | None | $602.56 | $1,905.46 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $2,884.03 Typical High $6,456.54 | Professional | 50 · Both sides | $912.01 | $2,884.03 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $380.19 Median $1,202.26 Typical High $2,754.23 | Professional | 62 · Two surgeons | $380.19 | $1,202.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $302.00 Typical High $707.95 | Professional | 80 · Assistant surgeon | $95.50 | $302.00 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $269.15 Typical High $616.60 | Professional | AS · PA/NP assist | $83.18 | $269.15 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $4,365.16 | Facility | None | $1,202.26 | $2,398.83 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,511.89 | Professional | None | $794.33 | $1,122.02 | $2,511.89 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $5,128.61 Typical High $9,332.54 | Facility | None | $691.83 | $5,128.61 | $9,332.54 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,230.27 | $2,041.74 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,819.70 Typical High $3,019.95 | Professional | 50 · Both sides | $1,548.82 | $1,819.70 | $3,019.95 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $776.25 Typical High $1,288.25 | Professional | 62 · Two surgeons | $660.69 | $776.25 | $1,288.25 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $194.98 Typical High $323.59 | Professional | 80 · Assistant surgeon | $165.96 | $194.98 | $323.59 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $169.82 Typical High $281.84 | Professional | AS · PA/NP assist | $144.54 | $169.82 | $281.84 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $5,623.41 Typical High $10,964.78 | Facility | None | $933.25 | $5,623.41 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $2,238.72 Typical High $5,128.61 | Professional | None | $691.83 | $2,238.72 | $5,128.61 |
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 $812.83 Median $1,288.25 Typical High $1,659.59 | Professional | None | $812.83 | $1,288.25 | $1,659.59 |
Prevea360 Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $1,202.26 | Facility | None | $660.69 | $741.31 | $1,202.26 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,348.96 Typical High $2,570.40 | Professional | None | $660.69 | $1,348.96 | $2,570.40 |
Quartz Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,786.30 | Facility | None | $933.25 | $3,162.28 | $4,786.30 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,380.38 | Professional | None | $831.76 | $1,122.02 | $1,380.38 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,862.09 | $2,344.23 | $3,235.94 |
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 $602.56 Median $1,000.00 Typical High $2,691.53 | Professional | None | $602.56 | $1,000.00 | $2,691.53 |
12 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 $331.13 Median $331.13 Typical High $3,801.89 | Professional | 52 · Reduced service | $331.13 | $331.13 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $1,513.56 | Professional | 53 · Discontinued | $131.83 | $131.83 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $5,754.40 | Professional | 54 · Surgery only | $489.78 | $489.78 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $1,148.15 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $758.58 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $5,370.32 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $5,370.32 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $616.60 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $524.81 | $616.60 | $1,000.00 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $977.24 Typical High $1,621.81 | Professional | 54 · Surgery only | $831.76 | $977.24 | $1,621.81 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $245.47 Typical High $407.38 | Professional | 55 · Aftercare only | $208.93 | $245.47 | $407.38 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,023.29 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $870.96 | $1,023.29 | $1,698.24 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $165.96 Median $194.98 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $165.96 | $194.98 | $323.59 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $165.96 Median $194.98 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $165.96 | $194.98 | $323.59 |
Where Wisconsin sits
The same service costs 5.9 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· 3rd of 51
$1,413
AK $2,512TX $427
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.