How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $7,079 · 10th to 90th $2,138 to $13,804
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 $1,905.46 Median $1,905.46 Typical High $14,454.40 | Facility | None | $1,905.46 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $26,302.68 | Professional | None | $1,905.46 | $1,905.46 | $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 $2,570.40 Median $8,128.31 Typical High $14,125.38 | Professional | None | $2,570.40 | $8,128.31 | $14,125.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,621.81 Median $5,128.61 Typical High $8,912.51 | Professional | 62 · Two surgeons | $1,621.81 | $5,128.61 | $8,912.51 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $1,318.26 Typical High $2,290.87 | Professional | 80 · Assistant surgeon | $407.38 | $1,318.26 | $2,290.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $1,148.15 Typical High $1,995.26 | Professional | AS · PA/NP assist | $363.08 | $1,148.15 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,370.32 Typical High $8,317.64 | Facility | None | $812.83 | $5,370.32 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $4,786.30 Typical High $9,772.37 | Professional | None | $3,388.44 | $4,786.30 | $9,772.37 |
DeanCare Setting Facility Modifier None Typical Low $2,290.87 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,290.87 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $7,585.78 | Professional | None | $3,715.35 | $5,495.41 | $7,585.78 |
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 $2,454.71 Median $6,760.83 Typical High $15,488.17 | Professional | None | $2,454.71 | $6,760.83 | $15,488.17 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,265.80 | Facility | None | $2,089.30 | $3,019.95 | $4,265.80 |
Network Health Setting Professional Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $9,772.37 | Professional | None | $3,019.95 | $5,248.07 | $9,772.37 |
Prevea360 Setting Facility Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $4,677.35 | Facility | None | $1,905.46 | $2,398.83 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $8,912.51 | Professional | None | $2,398.83 | $5,495.41 | $8,912.51 |
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 $3,630.78 Median $3,981.07 Typical High $8,128.31 | Professional | None | $3,630.78 | $3,981.07 | $8,128.31 |
Security Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None | $7,244.36 | $7,244.36 | $7,244.36 |
Security Health Setting Professional Modifier None Typical Low $7,585.78 Median $12,022.64 Typical High $15,135.61 | Professional | None | $7,585.78 | $12,022.64 | $15,135.61 |
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 $2,187.76 Median $6,309.57 Typical High $11,748.98 | Professional | None | $2,187.76 | $6,309.57 | $11,748.98 |
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 $954.99 Median $954.99 Typical High $12,882.50 | Professional | 52 · Reduced service | $954.99 | $954.99 | $12,882.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $5,248.07 | Professional | 53 · Discontinued | $380.19 | $380.19 | $5,248.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $19,498.45 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $19,498.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $3,890.45 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $3,890.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $2,630.27 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $18,197.01 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $18,197.01 |
Where Wisconsin sits
The same service costs 14.5 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
$7,079
AK $9,120TX $631
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.