How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,072 to $18,621Professionalmedian $3,890 · 10th to 90th $1,202 to $7,762
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 $1,071.52 Median $1,071.52 Typical High $14,454.40 | Facility | None | $1,071.52 | $1,071.52 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $14,454.40 | Professional | None | $1,071.52 | $1,071.52 | $14,454.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $14,454.40 Typical High $23,442.29 | Facility | None | $2,041.74 | $14,454.40 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $4,570.88 Typical High $7,762.47 | Professional | None | $1,412.54 | $4,570.88 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $2,818.38 Typical High $4,897.79 | Professional | 62 · Two surgeons | $891.25 | $2,818.38 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $724.44 Typical High $1,230.27 | Professional | 80 · Assistant surgeon | $229.09 | $724.44 | $1,230.27 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $630.96 Typical High $1,096.48 | Professional | AS · PA/NP assist | $199.53 | $630.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,019.95 Typical High $4,677.35 | Facility | None | $812.83 | $3,019.95 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $5,495.41 | Professional | None | $1,862.09 | $2,630.27 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,258.93 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,258.93 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $4,073.80 | Professional | None | $2,041.74 | $3,090.30 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,187.76 Typical High $4,786.30 | Facility | None | $645.65 | $2,187.76 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $3,630.78 Typical High $8,511.38 | Professional | None | $1,318.26 | $3,630.78 | $8,511.38 |
Network Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,548.82 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $5,370.32 | Professional | None | $1,698.24 | $2,884.03 | $5,370.32 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,511.89 | Facility | None | $1,047.13 | $1,348.96 | $2,511.89 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $3,162.28 Typical High $4,897.79 | Professional | None | $1,380.38 | $3,162.28 | $4,897.79 |
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 $2,041.74 Median $2,187.76 Typical High $4,466.84 | Professional | None | $2,041.74 | $2,187.76 | $4,466.84 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,606.93 Typical High $8,317.64 | Professional | None | $4,073.80 | $6,606.93 | $8,317.64 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,754.23 Typical High $4,677.35 | Facility | None | $707.95 | $2,754.23 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $6,456.54 | Professional | None | $1,230.27 | $3,467.37 | $6,456.54 |
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 $537.03 Median $537.03 Typical High $7,079.46 | Professional | 52 · Reduced service | $537.03 | $537.03 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $2,884.03 | Professional | 53 · Discontinued | $213.80 | $213.80 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $10,715.19 | Professional | 54 · Surgery only | $794.33 | $794.33 | $10,715.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $2,137.96 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $1,445.44 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $10,000.00 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $10,000.00 |
Where Wisconsin sits
The same service costs 5.6 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
$3,802
AK $5,012TX $891
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.