How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,259 to $11,220Professionalmedian $1,202 · 10th to 90th $646 to $4,677
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 $645.65 Median $8,317.64 Typical High $14,454.40 | Facility | None | $645.65 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $6,918.31 | Professional | None | $645.65 | $645.65 | $6,918.31 |
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 $575.44 Median $1,905.46 Typical High $4,570.88 | Professional | None | $575.44 | $1,905.46 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $2,818.38 Typical High $6,760.83 | Professional | 50 · Both sides | $870.96 | $2,818.38 | $6,760.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $1,202.26 Typical High $2,884.03 | Professional | 62 · Two surgeons | $371.54 | $1,202.26 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $302.00 Typical High $724.44 | Professional | 80 · Assistant surgeon | $93.33 | $302.00 | $724.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $269.15 Typical High $630.96 | Professional | AS · PA/NP assist | $81.28 | $269.15 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,513.56 | $2,818.38 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $2,454.71 | Professional | None | $741.31 | $1,096.48 | $2,454.71 |
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 $1,023.29 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,202.26 | $1,995.26 |
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 $645.65 Median $758.58 Typical High $1,258.93 | Professional | 62 · Two surgeons | $645.65 | $758.58 | $1,258.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $194.98 Typical High $316.23 | Professional | 80 · Assistant surgeon | $162.18 | $194.98 | $316.23 |
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 $2,187.76 Typical High $4,677.35 | Professional | None | $691.83 | $2,187.76 | $4,677.35 |
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 $1,318.26 Typical High $1,698.24 | Professional | None | $812.83 | $1,318.26 | $1,698.24 |
Prevea360 Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,174.90 | Facility | None | $645.65 | $724.44 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $2,511.89 | Professional | None | $645.65 | $1,348.96 | $2,511.89 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $5,370.32 | Facility | None | $1,995.26 | $3,235.94 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,348.96 | Professional | None | $831.76 | $1,096.48 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,511.89 | $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 $323.59 Median $323.59 Typical High $3,467.37 | Professional | 52 · Reduced service | $323.59 | $323.59 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $1,380.38 | Professional | 53 · Discontinued | $128.82 | $128.82 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $5,128.61 | Professional | 54 · Surgery only | $489.78 | $489.78 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $1,023.29 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $691.83 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $4,786.30 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $4,786.30 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $602.56 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $512.86 | $602.56 | $1,000.00 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $954.99 Typical High $1,584.89 | Professional | 54 · Surgery only | $812.83 | $954.99 | $1,584.89 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $239.88 Typical High $398.11 | Professional | 55 · Aftercare only | $204.17 | $239.88 | $398.11 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,023.29 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $851.14 | $1,023.29 | $1,659.59 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $194.98 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $162.18 | $194.98 | $316.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $194.98 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $194.98 | $316.23 |
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
$1,445
AK $2,455TX $417
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.