How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,202 to $13,804Professionalmedian $3,162 · 10th to 90th $1,148 to $5,754
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 $1,148.15 Median $6,456.54 Typical High $14,454.40 | Facility | None | $1,148.15 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $8,128.31 | Professional | None | $1,148.15 | $1,148.15 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $3,548.13 Typical High $6,456.54 | Professional | None | $1,230.27 | $3,548.13 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $776.25 Median $2,238.72 Typical High $4,073.80 | Professional | 62 · Two surgeons | $776.25 | $2,238.72 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $562.34 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $199.53 | $562.34 | $1,023.29 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $501.19 Typical High $891.25 | Professional | AS · PA/NP assist | $173.78 | $501.19 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $6,918.31 | Facility | None | $954.99 | $3,467.37 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,380.38 | $2,089.30 | $3,801.89 |
DeanCare Setting Facility Modifier None Typical Low $1,096.48 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,096.48 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,630.27 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $5,623.41 Typical High $13,803.84 | Facility | None | $1,096.48 | $5,623.41 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $3,235.94 Typical High $5,495.41 | Professional | None | $1,174.90 | $3,235.94 | $5,495.41 |
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 $1,479.11 Median $2,511.89 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,511.89 | $3,311.31 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,995.26 | Facility | None | $933.25 | $1,096.48 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $1,000.00 Median $2,290.87 Typical High $4,265.80 | Professional | None | $1,000.00 | $2,290.87 | $4,265.80 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $4,570.88 Typical High $7,585.78 | Facility | None | $758.58 | $4,570.88 | $7,585.78 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,235.94 | Professional | None | $1,380.38 | $1,380.38 | $3,235.94 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Security Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $5,128.61 | Professional | None | $3,019.95 | $4,570.88 | $5,128.61 |
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 $1,000.00 Median $2,818.38 Typical High $5,128.61 | Professional | None | $1,000.00 | $2,818.38 | $5,128.61 |
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 $575.44 Median $575.44 Typical High $4,073.80 | Professional | 52 · Reduced service | $575.44 | $575.44 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $1,621.81 | Professional | 53 · Discontinued | $229.09 | $229.09 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $6,165.95 | Professional | 54 · Surgery only | $870.96 | $870.96 | $6,165.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $1,230.27 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $812.83 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $5,754.40 |
Where Wisconsin sits
The same service costs 5.6 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· 3rd of 51
$3,631
AK $4,074UT $724
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.