How much rates vary
Facilitymedian $5,623 · 10th to 90th $759 to $11,220Professionalmedian $1,318 · 10th to 90th $457 to $3,981
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 $549.54 Median $1,905.46 Typical High $14,454.40 | Facility | None | $549.54 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $5,248.07 | Professional | None | $549.54 | $549.54 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $11,220.18 | Facility | None | $6,456.54 | $8,709.64 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $2,238.72 Typical High $3,981.07 | Professional | None | $562.34 | $2,238.72 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $3,311.31 Typical High $6,025.60 | Professional | 50 · Both sides | $831.76 | $3,311.31 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $1,412.54 Typical High $2,511.89 | Professional | 62 · Two surgeons | $354.81 | $1,412.54 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $354.81 Typical High $630.96 | Professional | 80 · Assistant surgeon | $89.13 | $354.81 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $316.23 Typical High $562.34 | Professional | AS · PA/NP assist | $77.62 | $316.23 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $831.76 Typical High $3,019.95 | Facility | None | $724.44 | $831.76 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $1,513.56 | Professional | None | $616.60 | $1,122.02 | $1,513.56 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $5,623.41 Typical High $10,232.93 | Facility | None | $407.38 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $4,265.80 Typical High $10,964.78 | Facility | None | $851.14 | $4,265.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $1,000.00 Typical High $4,466.84 | Professional | None | $338.84 | $1,000.00 | $4,466.84 |
Network Health Setting Facility Modifier None Typical Low $2,818.38 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,818.38 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $588.84 Median $2,691.53 Typical High $2,691.53 | Professional | None | $588.84 | $2,691.53 | $2,691.53 |
Prevea360 Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $1,230.27 | Facility | None | $316.23 | $549.54 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $2,691.53 | Professional | None | $645.65 | $1,348.96 | $2,691.53 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,071.52 | $2,187.76 | $6,760.83 |
Quartz Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,000.00 | $1,995.26 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $316.23 Median $575.44 Typical High $1,778.28 | Professional | None | $316.23 | $575.44 | $1,778.28 |
5 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 $275.42 Median $275.42 Typical High $2,630.27 | Professional | 52 · Reduced service | $275.42 | $275.42 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $1,047.13 | Professional | 53 · Discontinued | $109.65 | $109.65 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $3,890.45 | Professional | 54 · Surgery only | $407.38 | $407.38 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $776.25 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $524.81 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $524.81 |
Where Wisconsin sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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· 3rd of 51
$1,380
AK $2,455KY $245
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.