How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,175 to $14,454Professionalmedian $1,778 · 10th to 90th $661 to $3,548
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 $660.69 Median $8,511.38 Typical High $14,454.40 | Facility | None | $660.69 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $5,248.07 | Professional | None | $660.69 | $660.69 | $5,248.07 |
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 $724.44 Median $2,041.74 Typical High $3,630.78 | Professional | None | $724.44 | $2,041.74 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $1,288.25 Typical High $2,290.87 | Professional | 62 · Two surgeons | $457.09 | $1,288.25 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $323.59 Typical High $575.44 | Professional | 80 · Assistant surgeon | $117.49 | $323.59 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $281.84 Typical High $501.19 | Professional | AS · PA/NP assist | $102.33 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $5,754.40 | Facility | None | $1,348.96 | $2,570.40 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,995.26 | Professional | None | $794.33 | $1,230.27 | $1,995.26 |
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 $1,023.29 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,548.82 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $6,606.93 Typical High $13,182.57 | Facility | None | $954.99 | $6,606.93 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,659.59 Typical High $2,754.23 | Professional | None | $645.65 | $1,659.59 | $2,754.23 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $1,778.28 | Professional | None | $851.14 | $1,445.44 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,122.02 | Facility | None | $630.96 | $707.95 | $1,122.02 |
Quartz Setting Professional Modifier None Typical Low $575.44 Median $1,318.26 Typical High $2,511.89 | Professional | None | $575.44 | $1,318.26 | $2,511.89 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $3,801.89 Typical High $6,309.57 | Facility | None | $1,071.52 | $3,801.89 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,698.24 | Professional | None | $870.96 | $870.96 | $1,698.24 |
Security Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,951.21 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $524.81 Median $1,513.56 Typical High $2,570.40 | Professional | None | $524.81 | $1,513.56 | $2,570.40 |
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 $331.13 Median $331.13 Typical High $2,630.27 | Professional | 52 · Reduced service | $331.13 | $331.13 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $1,047.13 | Professional | 53 · Discontinued | $131.83 | $131.83 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $3,890.45 | Professional | 54 · Surgery only | $501.19 | $501.19 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $776.25 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $524.81 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $3,630.78 |
Where Wisconsin sits
The same service costs 6.9 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
$2,239
AK $2,754UT $398
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.