How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,175 to $13,490Professionalmedian $1,862 · 10th to 90th $692 to $3,715
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 $691.83 Median $691.83 Typical High $14,454.40 | Facility | None | $691.83 | $691.83 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $5,495.41 | Professional | None | $691.83 | $691.83 | $5,495.41 |
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 $758.58 Median $2,137.96 Typical High $3,801.89 | Professional | None | $758.58 | $2,137.96 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $1,348.96 Typical High $2,398.83 | Professional | 62 · Two surgeons | $478.63 | $1,348.96 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $346.74 Typical High $602.56 | Professional | 80 · Assistant surgeon | $123.03 | $346.74 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $302.00 Typical High $537.03 | Professional | AS · PA/NP assist | $107.15 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $5,754.40 | Facility | None | $1,023.29 | $2,691.53 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,137.96 | Professional | None | $831.76 | $1,288.25 | $2,137.96 |
DeanCare Setting Facility Modifier None Typical Low $676.08 Median $7,943.28 Typical High $14,454.40 | Facility | None | $676.08 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,621.81 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $10,964.78 | Facility | None | $794.33 | $4,466.84 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,951.21 | Professional | None | $691.83 | $1,778.28 | $2,951.21 |
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 $891.25 Median $1,548.82 Typical High $1,862.09 | Professional | None | $891.25 | $1,548.82 | $1,862.09 |
Prevea360 Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $1,230.27 | Facility | None | $562.34 | $707.95 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $2,630.27 | Professional | None | $616.60 | $1,412.54 | $2,630.27 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $6,309.57 | Facility | None | $812.83 | $3,801.89 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,778.28 | Professional | None | $912.01 | $912.01 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $3,090.30 Typical High $3,467.37 | Professional | None | $1,584.89 | $3,090.30 | $3,467.37 |
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 $562.34 Median $1,584.89 Typical High $2,691.53 | Professional | None | $562.34 | $1,584.89 | $2,691.53 |
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 $346.74 Median $346.74 Typical High $2,754.23 | Professional | 52 · Reduced service | $346.74 | $346.74 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $1,096.48 | Professional | 53 · Discontinued | $138.04 | $138.04 | $1,096.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $4,168.69 | Professional | 54 · Surgery only | $524.81 | $524.81 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $831.76 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $549.54 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $3,890.45 |
Where Wisconsin sits
The same service costs 6.2 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
$2,344
AK $2,512UT $407
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.