How much rates vary
Facilitymedian $1,380 · 10th to 90th $302 to $8,318Professionalmedian $1,698 · 10th to 90th $661 to $4,467
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 $602.56 Median $3,090.30 Typical High $14,454.40 | Facility | None | $602.56 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $6,456.54 | Professional | None | $602.56 | $602.56 | $6,456.54 |
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 $660.69 Median $2,511.89 Typical High $4,466.84 | Professional | None | $660.69 | $2,511.89 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $416.87 Median $1,584.89 Typical High $2,754.23 | Professional | 62 · Two surgeons | $416.87 | $1,584.89 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $398.11 Typical High $707.95 | Professional | 80 · Assistant surgeon | $104.71 | $398.11 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $346.74 Typical High $616.60 | Professional | AS · PA/NP assist | $93.33 | $346.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,698.24 Typical High $2,691.53 | Facility | None | $724.44 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,258.93 | $2,951.21 |
DeanCare Setting Facility Modifier None Typical Low $776.25 Median $3,162.28 Typical High $5,888.44 | Facility | None | $776.25 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,412.54 | $2,041.74 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $724.44 Median $891.25 Typical High $1,288.25 | Professional | 62 · Two surgeons | $724.44 | $891.25 | $1,288.25 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | 80 · Assistant surgeon | $181.97 | $223.87 | $323.59 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $194.98 Typical High $281.84 | Professional | AS · PA/NP assist | $162.18 | $194.98 | $281.84 |
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 $758.58 Median $1,995.26 Typical High $5,011.87 | Professional | None | $758.58 | $1,995.26 | $5,011.87 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $977.24 Typical High $2,344.23 | Facility | None | $831.76 | $977.24 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $812.83 Median $1,621.81 Typical High $1,995.26 | Professional | None | $812.83 | $1,621.81 | $1,995.26 |
Prevea360 Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,318.26 | Facility | None | $616.60 | $891.25 | $1,318.26 |
Quartz Setting Professional Modifier None Typical Low $660.69 Median $1,380.38 Typical High $3,019.95 | Professional | None | $660.69 | $1,380.38 | $3,019.95 |
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 $1,258.93 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,258.93 | $1,548.82 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $4,897.79 | Professional | None | $2,290.87 | $3,715.35 | $4,897.79 |
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 $707.95 Median $1,230.27 Typical High $3,890.45 | Professional | None | $707.95 | $1,230.27 | $3,890.45 |
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 $302.00 Median $302.00 Typical High $3,235.94 | Professional | 52 · Reduced service | $302.00 | $302.00 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $1,288.25 | Professional | 53 · Discontinued | $120.23 | $120.23 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $4,897.79 | Professional | 54 · Surgery only | $457.09 | $457.09 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $977.24 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $645.65 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $645.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | 81 · Minimal assistant surgeon | $181.97 | $223.87 | $323.59 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $223.87 Typical High $323.59 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $223.87 | $323.59 |
Where Wisconsin sits
The same service costs 4.7 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· 3rd of 51
$1,622
AK $2,754UT $589
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.