How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,175 to $10,471Professionalmedian $2,951 · 10th to 90th $1,072 to $5,495
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 $6,456.54 Typical High $14,454.40 | Facility | None | $1,071.52 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $8,128.31 | Professional | None | $1,071.52 | $1,071.52 | $8,128.31 |
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 $1,148.15 Median $3,467.37 Typical High $6,025.60 | Professional | None | $1,148.15 | $3,467.37 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $2,187.76 Typical High $3,801.89 | Professional | 62 · Two surgeons | $724.44 | $2,187.76 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $562.34 Typical High $954.99 | Professional | 80 · Assistant surgeon | $181.97 | $562.34 | $954.99 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $478.63 Typical High $851.14 | Professional | AS · PA/NP assist | $158.49 | $478.63 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,398.83 Typical High $3,090.30 | Facility | None | $954.99 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,949.84 | $3,467.37 |
DeanCare Setting Facility Modifier None Typical Low $1,023.29 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,023.29 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,454.71 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,096.48 | $5,248.07 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,096.48 | $3,019.95 | $4,897.79 |
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 $1,348.96 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,348.96 | $2,344.23 | $3,090.30 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,862.09 | Facility | None | $933.25 | $1,023.29 | $1,862.09 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $2,137.96 Typical High $3,981.07 | Professional | None | $933.25 | $2,137.96 | $3,981.07 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $2,884.03 | Facility | None | $758.58 | $1,819.70 | $2,884.03 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,258.93 | $2,951.21 |
Security Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Security Health Setting Professional Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $4,786.30 | Professional | None | $2,754.23 | $4,168.69 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,309.57 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,309.57 | $11,481.54 |
United Setting Professional Modifier None Typical Low $912.01 Median $2,630.27 Typical High $4,786.30 | Professional | None | $912.01 | $2,630.27 | $4,786.30 |
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 $524.81 Median $524.81 Typical High $4,073.80 | Professional | 52 · Reduced service | $524.81 | $524.81 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $1,621.81 | Professional | 53 · Discontinued | $213.80 | $213.80 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $6,025.60 | Professional | 54 · Surgery only | $794.33 | $794.33 | $6,025.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $1,230.27 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $812.83 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $5,623.41 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $5,623.41 |
Where Wisconsin sits
The same service costs 5.6 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
$3,162
AK $3,715TX $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.