How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $6,918 · 10th to 90th $2,138 to $13,490
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 $1,862.09 Median $1,862.09 Typical High $14,454.40 | Facility | None | $1,862.09 | $1,862.09 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $26,302.68 | Professional | None | $1,862.09 | $1,862.09 | $26,302.68 |
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 $2,511.89 Median $7,943.28 Typical High $13,803.84 | Professional | None | $2,511.89 | $7,943.28 | $13,803.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $5,011.87 Typical High $8,709.64 | Professional | 62 · Two surgeons | $1,584.89 | $5,011.87 | $8,709.64 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $1,288.25 Typical High $2,238.72 | Professional | 80 · Assistant surgeon | $398.11 | $1,288.25 | $2,238.72 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $1,122.02 Typical High $1,949.84 | Professional | AS · PA/NP assist | $354.81 | $1,122.02 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,248.07 Typical High $8,128.31 | Facility | None | $812.83 | $5,248.07 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $9,549.93 | Professional | None | $3,311.31 | $4,677.35 | $9,549.93 |
DeanCare Setting Facility Modifier None Typical Low $2,238.72 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,238.72 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $7,244.36 | Professional | None | $3,630.78 | $5,370.32 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,570.40 Typical High $18,197.01 | Facility | None | $436.52 | $2,570.40 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $6,456.54 Typical High $15,135.61 | Professional | None | $2,344.23 | $6,456.54 | $15,135.61 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $4,168.69 | Facility | None | $2,089.30 | $2,951.21 | $4,168.69 |
Network Health Setting Professional Modifier None Typical Low $2,951.21 Median $5,128.61 Typical High $9,549.93 | Professional | None | $2,951.21 | $5,128.61 | $9,549.93 |
Prevea360 Setting Facility Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $4,570.88 | Facility | None | $1,862.09 | $2,344.23 | $4,570.88 |
Quartz Setting Professional Modifier None Typical Low $2,344.23 Median $5,370.32 Typical High $8,709.64 | Professional | None | $2,344.23 | $5,370.32 | $8,709.64 |
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 $3,548.13 Median $3,890.45 Typical High $7,943.28 | Professional | None | $3,548.13 | $3,890.45 | $7,943.28 |
Security Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Security Health Setting Professional Modifier None Typical Low $7,413.10 Median $11,748.98 Typical High $14,791.08 | Professional | None | $7,413.10 | $11,748.98 | $14,791.08 |
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 $2,137.96 Median $6,165.95 Typical High $11,481.54 | Professional | None | $2,137.96 | $6,165.95 | $11,481.54 |
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 $933.25 Median $933.25 Typical High $13,182.57 | Professional | 52 · Reduced service | $933.25 | $933.25 | $13,182.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $5,370.32 | Professional | 53 · Discontinued | $371.54 | $371.54 | $5,370.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $19,952.62 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $19,952.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $3,981.07 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $3,981.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $2,630.27 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $18,620.87 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $18,620.87 |
Where Wisconsin sits
The same service costs 13.5 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
$6,918
AK $8,913TX $661
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.