How much rates vary
Facilitymedian $5,623 · 10th to 90th $851 to $11,220Professionalmedian $1,259 · 10th to 90th $457 to $3,802
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 $524.81 Median $1,905.46 Typical High $14,454.40 | Facility | None | $524.81 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $6,165.95 | Professional | None | $524.81 | $524.81 | $6,165.95 |
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 $524.81 Median $2,137.96 Typical High $3,801.89 | Professional | None | $524.81 | $2,137.96 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $3,162.28 Typical High $5,623.41 | Professional | 50 · Both sides | $794.33 | $3,162.28 | $5,623.41 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $331.13 Median $1,348.96 Typical High $2,398.83 | Professional | 62 · Two surgeons | $331.13 | $1,348.96 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $338.84 Typical High $602.56 | Professional | 80 · Assistant surgeon | $85.11 | $338.84 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $295.12 Typical High $524.81 | Professional | AS · PA/NP assist | $74.13 | $295.12 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $3,019.95 | Facility | None | $1,230.27 | $1,412.54 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,412.54 | Professional | None | $812.83 | $1,071.52 | $1,412.54 |
DeanCare Setting Facility Modifier None Typical Low $380.19 Median $5,623.41 Typical High $10,232.93 | Facility | None | $380.19 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $4,265.80 Typical High $10,964.78 | Facility | None | $912.01 | $4,265.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $954.99 Typical High $4,168.69 | Professional | None | $338.84 | $954.99 | $4,168.69 |
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 $562.34 Median $2,630.27 Typical High $2,630.27 | Professional | None | $562.34 | $2,630.27 | $2,630.27 |
Prevea360 Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $1,148.15 | Facility | None | $295.12 | $524.81 | $1,148.15 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $2,570.40 | Professional | None | $616.60 | $1,288.25 | $2,570.40 |
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 $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,071.52 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Security Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,000.00 | $1,862.09 | $3,090.30 |
The Alliance Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $331.13 Median $537.03 Typical High $1,698.24 | Professional | None | $331.13 | $537.03 | $1,698.24 |
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 $263.03 Median $263.03 Typical High $3,090.30 | Professional | 52 · Reduced service | $263.03 | $263.03 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $1,230.27 | Professional | 53 · Discontinued | $104.71 | $104.71 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $4,677.35 | Professional | 54 · Surgery only | $389.05 | $389.05 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $933.25 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $616.60 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $616.60 |
Where Wisconsin sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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
$1,380
AK $2,344HI $224
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.