How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $4,571 · 10th to 90th $1,413 to $9,120
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 $1,230.27 Median $1,230.27 Typical High $14,454.40 | Facility | None | $1,230.27 | $1,230.27 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $16,982.44 | Professional | None | $1,230.27 | $1,230.27 | $16,982.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $15,488.17 Typical High $26,302.68 | Facility | None | $10,964.78 | $15,488.17 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $5,248.07 Typical High $9,120.11 | Professional | None | $1,659.59 | $5,248.07 | $9,120.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,511.89 Median $7,943.28 Typical High $13,803.84 | Professional | 50 · Both sides | $2,511.89 | $7,943.28 | $13,803.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $3,311.31 Typical High $5,754.40 | Professional | 62 · Two surgeons | $1,047.13 | $3,311.31 | $5,754.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $851.14 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $263.03 | $851.14 | $1,479.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $741.31 Typical High $1,288.25 | Professional | AS · PA/NP assist | $234.42 | $741.31 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,467.37 Typical High $5,370.32 | Facility | None | $812.83 | $3,467.37 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $6,309.57 | Professional | None | $2,187.76 | $3,090.30 | $6,309.57 |
DeanCare Setting Facility Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,479.11 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,398.83 | $3,548.13 | $4,786.30 |
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 $1,548.82 Median $4,365.16 Typical High $10,000.00 | Professional | None | $1,548.82 | $4,365.16 | $10,000.00 |
Network Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,949.84 | $2,089.30 | $2,754.23 |
Network Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $6,309.57 | Professional | None | $1,949.84 | $3,388.44 | $6,309.57 |
Prevea360 Setting Facility Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,951.21 | Facility | None | $1,230.27 | $1,584.89 | $2,951.21 |
Quartz Setting Professional Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $5,754.40 | Professional | None | $1,584.89 | $3,630.78 | $5,754.40 |
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 $2,398.83 Median $2,570.40 Typical High $5,248.07 | Professional | None | $2,398.83 | $2,570.40 | $5,248.07 |
Security Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $4,897.79 Median $7,762.47 Typical High $9,772.37 | Professional | None | $4,897.79 | $7,762.47 | $9,772.37 |
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 $1,412.54 Median $4,073.80 Typical High $7,585.78 | Professional | None | $1,412.54 | $4,073.80 | $7,585.78 |
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 $616.60 Median $616.60 Typical High $8,511.38 | Professional | 52 · Reduced service | $616.60 | $616.60 | $8,511.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $3,388.44 | Professional | 53 · Discontinued | $245.47 | $245.47 | $3,388.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $12,589.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $12,589.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $2,511.89 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $2,511.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $1,698.24 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $11,748.98 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $11,748.98 |
Where Wisconsin sits
The same service costs 7.8 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
$4,786
AK $5,888TX $759
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.