How much rates vary
Facilitymedian $1,318 · 10th to 90th $302 to $8,318Professionalmedian $1,479 · 10th to 90th $575 to $3,890
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 $3,090.30 Typical High $14,454.40 | Facility | None | $524.81 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $5,623.41 | Professional | None | $524.81 | $524.81 | $5,623.41 |
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 $575.44 Median $2,137.96 Typical High $3,801.89 | Professional | None | $575.44 | $2,137.96 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $1,348.96 Typical High $2,398.83 | Professional | 62 · Two surgeons | $363.08 | $1,348.96 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $346.74 Typical High $616.60 | Professional | 80 · Assistant surgeon | $91.20 | $346.74 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $302.00 Typical High $537.03 | Professional | AS · PA/NP assist | $79.43 | $302.00 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,479.11 Typical High $2,691.53 | Facility | None | $724.44 | $1,479.11 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $2,570.40 | Professional | None | $933.25 | $1,071.52 | $2,570.40 |
DeanCare Setting Facility Modifier None Typical Low $616.60 Median $3,162.28 Typical High $5,888.44 | Facility | None | $616.60 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,202.26 | $1,737.80 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $758.58 Typical High $1,096.48 | Professional | 62 · Two surgeons | $630.96 | $758.58 | $1,096.48 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 80 · Assistant surgeon | $158.49 | $194.98 | $281.84 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $245.47 | Professional | AS · PA/NP assist | $138.04 | $169.82 | $245.47 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $1,000.00 Typical High $1,778.28 | Facility | None | $234.42 | $1,000.00 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $1,698.24 Typical High $4,265.80 | Professional | None | $660.69 | $1,698.24 | $4,265.80 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23 | Facility | None | $831.76 | $954.99 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $707.95 Median $1,412.54 Typical High $1,737.80 | Professional | None | $707.95 | $1,412.54 | $1,737.80 |
Prevea360 Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $1,148.15 | Facility | None | $524.81 | $660.69 | $1,148.15 |
Quartz Setting Professional Modifier None Typical Low $562.34 Median $1,202.26 Typical High $2,630.27 | Professional | None | $562.34 | $1,202.26 | $2,630.27 |
Quartz Setting Facility Modifier None Typical Low $575.44 Median $1,000.00 Typical High $2,691.53 | Facility | None | $575.44 | $1,000.00 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,348.96 | Professional | None | $1,071.52 | $1,071.52 | $1,348.96 |
Security Health Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Security Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $4,265.80 | Professional | None | $1,949.84 | $3,311.31 | $4,265.80 |
The Alliance Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $616.60 Median $1,071.52 Typical High $3,311.31 | Professional | None | $616.60 | $1,071.52 | $3,311.31 |
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 $263.03 Median $263.03 Typical High $2,818.38 | Professional | 52 · Reduced service | $263.03 | $263.03 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $1,122.02 | Professional | 53 · Discontinued | $104.71 | $104.71 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $4,265.80 | Professional | 54 · Surgery only | $398.11 | $398.11 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $851.14 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $562.34 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $562.34 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $158.49 | $194.98 | $281.84 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $194.98 | $281.84 |
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
$1,445
AK $2,399UT $490
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.