How much rates vary
Facilitymedian $6,761 · 10th to 90th $832 to $16,982Professionalmedian $2,512 · 10th to 90th $933 to $5,129
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 $933.25 Median $933.25 Typical High $14,454.40 | Facility | None | $933.25 | $933.25 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $7,585.78 | Professional | None | $933.25 | $933.25 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $11,220.18 Typical High $16,982.44 | Facility | None | $6,606.93 | $11,220.18 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,023.29 | $2,951.21 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $1,862.09 Typical High $3,235.94 | Professional | 62 · Two surgeons | $645.65 | $1,862.09 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $467.74 Typical High $831.76 | Professional | 80 · Assistant surgeon | $162.18 | $467.74 | $831.76 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $407.38 Typical High $724.44 | Professional | AS · PA/NP assist | $141.25 | $407.38 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,137.96 Typical High $3,630.78 | Facility | None | $812.83 | $2,137.96 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,698.24 | $3,019.95 |
DeanCare Setting Facility Modifier None Typical Low $891.25 Median $7,943.28 Typical High $14,454.40 | Facility | None | $891.25 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,187.76 | $2,630.27 |
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 $954.99 Median $2,398.83 Typical High $3,890.45 | Professional | None | $954.99 | $2,398.83 | $3,890.45 |
Network Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,202.26 | $1,659.59 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,202.26 | $2,041.74 | $2,570.40 |
Prevea360 Setting Facility Modifier None Typical Low $741.31 Median $954.99 Typical High $1,659.59 | Facility | None | $741.31 | $954.99 | $1,659.59 |
Quartz Setting Professional Modifier None Typical Low $812.83 Median $1,862.09 Typical High $3,548.13 | Professional | None | $812.83 | $1,862.09 | $3,548.13 |
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 $1,230.27 Median $1,230.27 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,230.27 | $2,398.83 |
Security Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $4,168.69 Typical High $4,677.35 | Professional | None | $2,137.96 | $4,168.69 | $4,677.35 |
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 $758.58 Median $2,187.76 Typical High $3,715.35 | Professional | None | $758.58 | $2,187.76 | $3,715.35 |
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 $467.74 Median $467.74 Typical High $3,801.89 | Professional | 52 · Reduced service | $467.74 | $467.74 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $1,513.56 | Professional | 53 · Discontinued | $186.21 | $186.21 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $5,623.41 | Professional | 54 · Surgery only | $707.95 | $707.95 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $1,122.02 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $758.58 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $5,248.07 |
Where Wisconsin sits
The same service costs 6.3 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
$2,818
AK $3,388UT $537
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.