How much rates vary
Facilitymedian $6,918 · 10th to 90th $851 to $16,982Professionalmedian $2,399 · 10th to 90th $891 to $4,898
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 $891.25 Median $8,511.38 Typical High $14,454.40 | Facility | None | $891.25 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $7,585.78 | Professional | None | $891.25 | $891.25 | $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 $977.24 Median $2,884.03 Typical High $5,011.87 | Professional | None | $977.24 | $2,884.03 | $5,011.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $1,819.70 Typical High $3,162.28 | Professional | 62 · Two surgeons | $616.60 | $1,819.70 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $457.09 Typical High $812.83 | Professional | 80 · Assistant surgeon | $158.49 | $457.09 | $812.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $398.11 Typical High $707.95 | Professional | AS · PA/NP assist | $138.04 | $398.11 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,041.74 Typical High $3,467.37 | Facility | None | $812.83 | $2,041.74 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,659.59 | $2,754.23 |
DeanCare Setting Facility Modifier None Typical Low $851.14 Median $7,943.28 Typical High $14,454.40 | Facility | None | $851.14 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,412.54 | $2,089.30 | $2,511.89 |
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 $912.01 Median $2,290.87 Typical High $3,801.89 | Professional | None | $912.01 | $2,290.87 | $3,801.89 |
Network Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,089.30 | Facility | None | $1,174.90 | $1,584.89 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,949.84 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,584.89 | Facility | None | $724.44 | $912.01 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $1,778.28 Typical High $3,388.44 | Professional | None | $776.25 | $1,778.28 | $3,388.44 |
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 $1,174.90 Median $1,174.90 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,174.90 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,981.07 Typical High $4,466.84 | Professional | None | $2,137.96 | $3,981.07 | $4,466.84 |
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 $724.44 Median $2,089.30 Typical High $3,548.13 | Professional | None | $724.44 | $2,089.30 | $3,548.13 |
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 $446.68 Median $446.68 Typical High $3,801.89 | Professional | 52 · Reduced service | $446.68 | $446.68 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $1,513.56 | Professional | 53 · Discontinued | $177.83 | $177.83 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $5,623.41 | Professional | 54 · Surgery only | $676.08 | $676.08 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $1,122.02 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $758.58 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $5,248.07 |
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
$2,692
AK $3,236UT $525
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.