How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,023 to $9,333Professionalmedian $2,455 · 10th to 90th $794 to $5,888
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 $794.33 Median $6,456.54 Typical High $14,454.40 | Facility | None | $794.33 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $9,549.93 | Professional | None | $794.33 | $794.33 | $9,549.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,128.61 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $2,884.03 Typical High $6,025.60 | Professional | None | $933.25 | $2,884.03 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $588.84 Median $1,819.70 Typical High $3,801.89 | Professional | 62 · Two surgeons | $588.84 | $1,819.70 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $457.09 Typical High $954.99 | Professional | 80 · Assistant surgeon | $151.36 | $457.09 | $954.99 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $398.11 Typical High $851.14 | Professional | AS · PA/NP assist | $131.83 | $398.11 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,995.26 Typical High $3,388.44 | Facility | None | $812.83 | $1,995.26 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,584.89 | $2,754.23 |
DeanCare Setting Facility Modifier None Typical Low $831.76 Median $4,365.16 Typical High $7,762.47 | Facility | None | $831.76 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,995.26 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,818.38 Typical High $8,317.64 | Facility | None | $933.25 | $2,818.38 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $2,398.83 Typical High $5,128.61 | Professional | None | $891.25 | $2,398.83 | $5,128.61 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,949.84 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $691.83 Median $891.25 Typical High $1,548.82 | Facility | None | $691.83 | $891.25 | $1,548.82 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $1,778.28 Typical High $3,235.94 | Professional | None | $776.25 | $1,778.28 | $3,235.94 |
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 $1,047.13 Median $1,047.13 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,047.13 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $5,888.44 | Professional | None | $3,715.35 | $4,466.84 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,677.35 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,677.35 | $8,709.64 |
United Setting Professional Modifier None Typical Low $741.31 Median $2,137.96 Typical High $3,801.89 | Professional | None | $741.31 | $2,137.96 | $3,801.89 |
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 $398.11 Median $398.11 Typical High $4,786.30 | Professional | 52 · Reduced service | $398.11 | $398.11 | $4,786.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $1,905.46 | Professional | 53 · Discontinued | $158.49 | $158.49 | $1,905.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $7,079.46 | Professional | 54 · Surgery only | $602.56 | $602.56 | $7,079.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $1,445.44 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $1,445.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $954.99 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $6,606.93 |
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· 2nd of 51
$2,818
AK $3,090TX $525
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.