How much rates vary
Facilitymedian $6,310 · 10th to 90th $813 to $17,783Professionalmedian $3,311 · 10th to 90th $1,072 to $7,762
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 $1,071.52 Median $1,071.52 Typical High $14,454.40 | Facility | None | $1,071.52 | $1,071.52 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $10,232.93 | Professional | None | $1,071.52 | $1,071.52 | $10,232.93 |
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 $1,288.25 Median $3,890.45 Typical High $8,128.31 | Professional | None | $1,288.25 | $3,890.45 | $8,128.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $5,888.44 Typical High $12,302.69 | Professional | 50 · Both sides | $1,949.84 | $5,888.44 | $12,302.69 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $812.83 Median $2,454.71 Typical High $5,128.61 | Professional | 62 · Two surgeons | $812.83 | $2,454.71 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $630.96 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $204.17 | $630.96 | $1,318.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $549.54 Typical High $1,148.15 | Professional | AS · PA/NP assist | $181.97 | $549.54 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,691.53 Typical High $4,168.69 | Facility | None | $812.83 | $2,691.53 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,412.54 | $2,238.72 | $3,715.35 |
DeanCare Setting Facility Modifier None Typical Low $1,148.15 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,148.15 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $3,548.13 | Professional | None | $1,862.09 | $2,754.23 | $3,548.13 |
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 $1,174.90 Median $3,162.28 Typical High $6,918.31 | Professional | None | $1,174.90 | $3,162.28 | $6,918.31 |
Network Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,089.30 | Facility | None | $1,513.56 | $1,949.84 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,513.56 | $2,630.27 | $3,467.37 |
Prevea360 Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,137.96 | Facility | None | $954.99 | $1,202.26 | $2,137.96 |
Quartz Setting Professional Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,148.15 | $2,630.27 | $4,466.84 |
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 $1,412.54 Median $1,412.54 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,412.54 | $3,311.31 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $4,897.79 Median $6,165.95 Typical High $8,128.31 | Professional | None | $4,897.79 | $6,165.95 | $8,128.31 |
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 $1,023.29 Median $2,884.03 Typical High $5,248.07 | Professional | None | $1,023.29 | $2,884.03 | $5,248.07 |
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 $537.03 Median $537.03 Typical High $5,128.61 | Professional | 52 · Reduced service | $537.03 | $537.03 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $2,041.74 | Professional | 53 · Discontinued | $213.80 | $213.80 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $7,762.47 | Professional | 54 · Surgery only | $812.83 | $812.83 | $7,762.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $1,548.82 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $7,244.36 |
Where Wisconsin sits
The same service costs 6.6 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· 2nd of 51
$3,548
AK $4,365TX $661
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.