How much rates vary
Facilitymedian $7,943 · 10th to 90th $813 to $19,498Professionalmedian $4,898 · 10th to 90th $1,549 to $9,772
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 $1,348.96 Median $1,348.96 Typical High $14,454.40 | Facility | None | $1,348.96 | $1,348.96 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $14,454.40 | Professional | None | $1,348.96 | $1,348.96 | $14,454.40 |
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 $1,778.28 Median $5,754.40 Typical High $9,772.37 | Professional | None | $1,778.28 | $5,754.40 | $9,772.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $912.01 Typical High $1,584.89 | Professional | 80 · Assistant surgeon | $288.40 | $912.01 | $1,584.89 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $794.33 Typical High $1,380.38 | Professional | AS · PA/NP assist | $251.19 | $794.33 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $5,754.40 | Facility | None | $812.83 | $3,801.89 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $6,918.31 | Professional | None | $2,344.23 | $3,311.31 | $6,918.31 |
DeanCare Setting Facility Modifier None Typical Low $1,584.89 Median $7,943.28 Typical High $14,454.40 | Facility | None | $1,584.89 | $7,943.28 | $14,454.40 |
DeanCare Setting Professional Modifier None Typical Low $2,570.40 Median $3,890.45 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,890.45 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $4,677.35 Typical High $10,715.19 | Professional | None | $1,698.24 | $4,677.35 | $10,715.19 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,951.21 | Facility | None | $2,089.30 | $2,137.96 | $2,951.21 |
Network Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $6,760.83 | Professional | None | $2,137.96 | $3,630.78 | $6,760.83 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,698.24 | $3,311.31 |
Quartz Setting Professional Modifier None Typical Low $1,698.24 Median $3,890.45 Typical High $6,165.95 | Professional | None | $1,698.24 | $3,890.45 | $6,165.95 |
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 $2,570.40 Median $2,754.23 Typical High $5,623.41 | Professional | None | $2,570.40 | $2,754.23 | $5,623.41 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $8,511.38 Typical High $10,715.19 | Professional | None | $5,248.07 | $8,511.38 | $10,715.19 |
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 $1,548.82 Median $4,365.16 Typical High $8,128.31 | Professional | None | $1,548.82 | $4,365.16 | $8,128.31 |
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 $676.08 Median $676.08 Typical High $7,244.36 | Professional | 52 · Reduced service | $676.08 | $676.08 | $7,244.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $2,884.03 | Professional | 53 · Discontinued | $269.15 | $269.15 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $10,964.78 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $10,964.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $2,187.76 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $2,187.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $1,445.44 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $10,232.93 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $10,232.93 |
Where Wisconsin sits
The same service costs 7.2 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
$5,129
AK $6,457TX $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.