How much rates vary
Facilitymedian $1,202 · 10th to 90th $302 to $8,318Professionalmedian $891 · 10th to 90th $347 to $2,344
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 $323.59 Median $1,905.46 Typical High $14,454.40 | Facility | None | $323.59 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $3,548.13 | Professional | None | $323.59 | $323.59 | $3,548.13 |
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 $346.74 Median $1,318.26 Typical High $2,344.23 | Professional | None | $346.74 | $1,318.26 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $208.93 Typical High $371.54 | Professional | 80 · Assistant surgeon | $56.23 | $208.93 | $371.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $186.21 Typical High $331.13 | Professional | AS · PA/NP assist | $48.98 | $186.21 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,698.24 | Facility | None | $537.03 | $1,000.00 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,548.82 | Professional | None | $562.34 | $660.69 | $1,548.82 |
DeanCare Setting Facility Modifier None Typical Low $407.38 Median $2,754.23 Typical High $5,128.61 | Facility | None | $407.38 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,023.29 | Professional | None | $537.03 | $741.31 | $1,023.29 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 80 · Assistant surgeon | $85.11 | $120.23 | $162.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $104.71 Typical High $144.54 | Professional | AS · PA/NP assist | $75.86 | $104.71 | $144.54 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $954.99 Typical High $1,778.28 | Facility | None | $234.42 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,047.13 Typical High $2,630.27 | Professional | None | $407.38 | $1,047.13 | $2,630.27 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $1,071.52 | Professional | None | $426.58 | $794.33 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $933.25 | Facility | None | $323.59 | $501.19 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $346.74 Median $724.44 Typical High $1,621.81 | Professional | None | $346.74 | $724.44 | $1,621.81 |
Quartz Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $2,691.53 | Facility | None | $426.58 | $707.95 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Security Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,995.26 | $2,570.40 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,202.26 Typical High $1,862.09 | Facility | None | $218.78 | $1,202.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $380.19 Median $660.69 Typical High $2,041.74 | Professional | None | $380.19 | $660.69 | $2,041.74 |
7 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 $162.18 Median $162.18 Typical High $1,778.28 | Professional | 52 · Reduced service | $162.18 | $162.18 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $707.95 | Professional | 53 · Discontinued | $64.57 | $64.57 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $2,691.53 | Professional | 54 · Surgery only | $239.88 | $239.88 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $537.03 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $354.81 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $354.81 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $85.11 | $120.23 | $162.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $120.23 | $162.18 |
Where Wisconsin sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$955
AK $1,445UT $295
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.