How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $6,310 · 10th to 90th $1,950 to $12,303
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 $1,698.24 Median $1,698.24 Typical High $14,454.40 | Facility | None | $1,698.24 | $1,698.24 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $18,197.01 | Professional | None | $1,698.24 | $1,698.24 | $18,197.01 |
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 $2,290.87 Median $7,244.36 Typical High $12,589.25 | Professional | None | $2,290.87 | $7,244.36 | $12,589.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,445.44 Median $4,570.88 Typical High $7,943.28 | Professional | 62 · Two surgeons | $1,445.44 | $4,570.88 | $7,943.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $363.08 Median $1,174.90 Typical High $2,041.74 | Professional | 80 · Assistant surgeon | $363.08 | $1,174.90 | $2,041.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $1,023.29 Typical High $1,778.28 | Professional | AS · PA/NP assist | $323.59 | $1,023.29 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,786.30 Typical High $7,413.10 | Facility | None | $812.83 | $4,786.30 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $4,265.80 Typical High $8,709.64 | Professional | None | $3,019.95 | $4,265.80 | $8,709.64 |
DeanCare Setting Facility Modifier None Typical Low $2,041.74 Median $7,943.28 Typical High $14,454.40 | Facility | None | $2,041.74 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $6,606.93 | Professional | None | $3,311.31 | $4,897.79 | $6,606.93 |
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 $2,137.96 Median $5,888.44 Typical High $13,803.84 | Professional | None | $2,137.96 | $5,888.44 | $13,803.84 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $3,801.89 | Facility | None | $2,089.30 | $2,691.53 | $3,801.89 |
Network Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $8,709.64 | Professional | None | $2,691.53 | $4,677.35 | $8,709.64 |
Prevea360 Setting Facility Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $4,073.80 | Facility | None | $1,698.24 | $2,187.76 | $4,073.80 |
Quartz Setting Professional Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $7,943.28 | Professional | None | $2,137.96 | $4,897.79 | $7,943.28 |
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 $3,235.94 Median $3,548.13 Typical High $7,244.36 | Professional | None | $3,235.94 | $3,548.13 | $7,244.36 |
Security Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $10,715.19 Typical High $13,489.63 | Professional | None | $6,760.83 | $10,715.19 | $13,489.63 |
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 $1,949.84 Median $5,623.41 Typical High $10,471.29 | Professional | None | $1,949.84 | $5,623.41 | $10,471.29 |
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 $851.14 Median $851.14 Typical High $9,120.11 | Professional | 52 · Reduced service | $851.14 | $851.14 | $9,120.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $3,630.78 | Professional | 53 · Discontinued | $338.84 | $338.84 | $3,630.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $13,803.84 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $13,803.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $2,754.23 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $2,754.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $12,882.50 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $12,882.50 |
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
$6,457
AK $8,128TX $1,047
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.