How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,148 to $12,303Professionalmedian $1,862 · 10th to 90th $603 to $4,467
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 $602.56 Median $602.56 Typical High $14,454.40 | Facility | None | $602.56 | $602.56 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $5,623.41 | Professional | None | $602.56 | $602.56 | $5,623.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $8,709.64 | Facility | None | $2,818.38 | $4,786.30 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $2,187.76 Typical High $4,570.88 | Professional | None | $724.44 | $2,187.76 | $4,570.88 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $1,380.38 Typical High $2,884.03 | Professional | 62 · Two surgeons | $457.09 | $1,380.38 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $354.81 Typical High $741.31 | Professional | 80 · Assistant surgeon | $114.82 | $354.81 | $741.31 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $309.03 Typical High $645.65 | Professional | AS · PA/NP assist | $100.00 | $309.03 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $2,754.23 | Facility | None | $1,023.29 | $1,737.80 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $2,137.96 | Professional | None | $794.33 | $1,230.27 | $2,137.96 |
DeanCare Setting Facility Modifier None Typical Low $645.65 Median $7,943.28 Typical High $14,454.40 | Facility | None | $645.65 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,548.82 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $5,128.61 Typical High $12,882.50 | Facility | None | $954.99 | $5,128.61 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,819.70 Typical High $3,890.45 | Professional | None | $676.08 | $1,819.70 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $851.14 Median $1,479.11 Typical High $1,905.46 | Professional | None | $851.14 | $1,479.11 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $1,174.90 | Facility | None | $537.03 | $691.83 | $1,174.90 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $1,348.96 Typical High $2,511.89 | Professional | None | $588.84 | $1,348.96 | $2,511.89 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $1,819.70 Typical High $2,884.03 | Facility | None | $812.83 | $1,819.70 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,862.09 | Professional | None | $794.33 | $794.33 | $1,862.09 |
Security Health Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $4,466.84 | Professional | None | $2,754.23 | $3,467.37 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,244.36 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,244.36 | $13,489.63 |
United Setting Professional Modifier None Typical Low $562.34 Median $1,621.81 Typical High $2,951.21 | Professional | None | $562.34 | $1,621.81 | $2,951.21 |
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 $302.00 Median $302.00 Typical High $2,818.38 | Professional | 52 · Reduced service | $302.00 | $302.00 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $1,122.02 | Professional | 53 · Discontinued | $123.03 | $123.03 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $4,265.80 | Professional | 54 · Surgery only | $457.09 | $457.09 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $851.14 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $562.34 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $3,981.07 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $3,981.07 |
Where Wisconsin sits
The same service costs 5.2 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
$2,239
AK $2,344UT $447
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.