How much rates vary
Facilitymedian $6,310 · 10th to 90th $813 to $17,783Professionalmedian $4,677 · 10th to 90th $1,514 to $10,715
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 $1,513.56 Median $1,513.56 Typical High $14,454.40 | Facility | None | $1,513.56 | $1,513.56 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $13,803.84 | Professional | None | $1,513.56 | $1,513.56 | $13,803.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,715.19 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,715.19 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $5,495.41 Typical High $11,481.54 | Professional | None | $1,778.28 | $5,495.41 | $11,481.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $8,128.31 Typical High $16,982.44 | Professional | 50 · Both sides | $2,691.53 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $3,467.37 Typical High $7,244.36 | Professional | 62 · Two surgeons | $1,122.02 | $3,467.37 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $870.96 Typical High $1,819.70 | Professional | 80 · Assistant surgeon | $288.40 | $870.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $758.58 Typical High $1,584.89 | Professional | AS · PA/NP assist | $251.19 | $758.58 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,715.35 Typical High $5,754.40 | Facility | None | $812.83 | $3,715.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $5,248.07 | Professional | None | $1,949.84 | $3,019.95 | $5,248.07 |
DeanCare Setting Facility Modifier None Typical Low $1,584.89 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,584.89 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,801.89 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $4,677.35 Typical High $9,772.37 | Professional | None | $1,698.24 | $4,677.35 | $9,772.37 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,884.03 | Facility | None | $2,089.30 | $2,137.96 | $2,884.03 |
Network Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,089.30 | $3,630.78 | $4,786.30 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,318.26 | $1,698.24 | $2,951.21 |
Quartz Setting Professional Modifier None Typical Low $1,445.44 Median $3,311.31 Typical High $6,165.95 | Professional | None | $1,445.44 | $3,311.31 | $6,165.95 |
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 $1,949.84 Median $1,949.84 Typical High $4,677.35 | Professional | None | $1,949.84 | $1,949.84 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $8,511.38 Typical High $11,220.18 | Professional | None | $6,918.31 | $8,511.38 | $11,220.18 |
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 $1,412.54 Median $4,073.80 Typical High $7,244.36 | Professional | None | $1,412.54 | $4,073.80 | $7,244.36 |
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 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $6,918.31 | Professional | 52 · Reduced service | $758.58 | $758.58 | $6,918.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $2,754.23 | Professional | 53 · Discontinued | $302.00 | $302.00 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $10,471.29 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $10,471.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $2,089.30 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $2,089.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $1,380.38 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $1,380.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $9,772.37 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $9,772.37 |
Where Wisconsin sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 2nd of 51
$4,786
AK $5,888UT $1,000
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.