How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,479 to $19,953Professionalmedian $3,981 · 10th to 90th $1,479 to $7,943
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 $1,479.11 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,479.11 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $12,022.64 | Professional | None | $1,479.11 | $1,479.11 | $12,022.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $15,848.93 Typical High $23,988.33 | Facility | None | $9,772.37 | $15,848.93 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $4,677.35 Typical High $8,128.31 | Professional | None | $1,621.81 | $4,677.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $2,951.21 Typical High $5,128.61 | Professional | 62 · Two surgeons | $1,023.29 | $2,951.21 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $758.58 Typical High $1,288.25 | Professional | 80 · Assistant surgeon | $257.04 | $758.58 | $1,288.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $660.69 Typical High $1,148.15 | Professional | AS · PA/NP assist | $223.87 | $660.69 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,265.80 Typical High $8,128.31 | Facility | None | $1,023.29 | $4,265.80 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $5,011.87 | Professional | None | $1,778.28 | $2,691.53 | $5,011.87 |
DeanCare Setting Facility Modifier None Typical Low $1,412.54 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,412.54 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,388.44 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $6,918.31 Typical High $15,848.93 | Facility | None | $1,174.90 | $6,918.31 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $3,801.89 Typical High $6,165.95 | Professional | None | $1,513.56 | $3,801.89 | $6,165.95 |
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 $1,862.09 Median $3,235.94 Typical High $4,073.80 | Professional | None | $1,862.09 | $3,235.94 | $4,073.80 |
Prevea360 Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,570.40 | Facility | None | $1,174.90 | $1,513.56 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,288.25 | $2,951.21 | $5,495.41 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $5,370.32 Typical High $8,912.51 | Facility | None | $812.83 | $5,370.32 | $8,912.51 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,949.84 | $1,949.84 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Security Health Setting Professional Modifier None Typical Low $3,388.44 Median $6,456.54 Typical High $7,413.10 | Professional | None | $3,388.44 | $6,456.54 | $7,413.10 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $14,125.38 | Facility | None | $1,479.11 | $7,943.28 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $5,888.44 | Professional | None | $1,230.27 | $3,467.37 | $5,888.44 |
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 $724.44 Median $724.44 Typical High $5,888.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $5,888.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $2,398.83 | Professional | 53 · Discontinued | $295.12 | $295.12 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $8,912.51 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $8,912.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $1,778.28 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $1,202.26 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $8,317.64 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $8,317.64 |
Where Wisconsin sits
The same service costs 6.9 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
$4,677
AK $5,370TX $776
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.