How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $8,128 · 10th to 90th $2,399 to $16,596
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 $2,238.72 Median $2,238.72 Typical High $14,454.40 | Facility | None | $2,238.72 | $2,238.72 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $31,622.78 | Professional | None | $2,238.72 | $2,238.72 | $31,622.78 |
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 $2,951.21 Median $9,549.93 Typical High $16,982.44 | Professional | None | $2,951.21 | $9,549.93 | $16,982.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,778.28 Median $6,025.60 Typical High $10,715.19 | Professional | 62 · Two surgeons | $1,778.28 | $6,025.60 | $10,715.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $446.68 Median $1,548.82 Typical High $2,691.53 | Professional | 80 · Assistant surgeon | $446.68 | $1,548.82 | $2,691.53 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $389.05 Median $1,348.96 Typical High $2,344.23 | Professional | AS · PA/NP assist | $389.05 | $1,348.96 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $6,309.57 Typical High $9,772.37 | Facility | None | $812.83 | $6,309.57 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $11,748.98 | Professional | None | $3,981.07 | $5,623.41 | $11,748.98 |
DeanCare Setting Facility Modifier None Typical Low $2,691.53 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,691.53 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $4,365.16 Median $6,456.54 Typical High $8,912.51 | Professional | None | $4,365.16 | $6,456.54 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,691.53 Typical High $18,197.01 | Facility | None | $436.52 | $2,691.53 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $7,943.28 Typical High $18,197.01 | Professional | None | $2,754.23 | $7,943.28 | $18,197.01 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $5,011.87 | Facility | None | $2,089.30 | $3,548.13 | $5,011.87 |
Network Health Setting Professional Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $11,481.54 | Professional | None | $3,548.13 | $6,165.95 | $11,481.54 |
Prevea360 Setting Facility Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $5,623.41 | Facility | None | $2,238.72 | $2,691.53 | $5,623.41 |
Quartz Setting Professional Modifier None Typical Low $2,818.38 Median $6,456.54 Typical High $10,471.29 | Professional | None | $2,818.38 | $6,456.54 | $10,471.29 |
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 $4,365.16 Median $4,677.35 Typical High $9,549.93 | Professional | None | $4,365.16 | $4,677.35 | $9,549.93 |
Security Health Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Security Health Setting Professional Modifier None Typical Low $9,120.11 Median $14,125.38 Typical High $17,782.79 | Professional | None | $9,120.11 | $14,125.38 | $17,782.79 |
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 $2,570.40 Median $7,244.36 Typical High $13,803.84 | Professional | None | $2,570.40 | $7,244.36 | $13,803.84 |
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 $1,122.02 Median $1,122.02 Typical High $15,488.17 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $15,488.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $6,309.57 | Professional | 53 · Discontinued | $446.68 | $446.68 | $6,309.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,698.24 Typical High $23,442.29 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $23,442.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $4,677.35 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $4,677.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $3,162.28 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $3,162.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $21,877.62 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $21,877.62 |
Where Wisconsin sits
The same service costs 17.0 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
$8,128
AK $10,965TX $646
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.