How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,291 to $14,791Professionalmedian $4,266 · 10th to 90th $1,349 to $10,000
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 $1,819.70 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,819.70 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $14,125.38 | Professional | None | $1,819.70 | $1,819.70 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $4,677.35 Typical High $9,772.37 | Professional | None | $1,348.96 | $4,677.35 | $9,772.37 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $7,079.46 Typical High $14,454.40 | Professional | 50 · Both sides | $2,041.74 | $7,079.46 | $14,454.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $2,951.21 Typical High $6,165.95 | Professional | 62 · Two surgeons | $851.14 | $2,951.21 | $6,165.95 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $758.58 Typical High $1,548.82 | Professional | 80 · Assistant surgeon | $218.78 | $758.58 | $1,548.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $660.69 Typical High $1,348.96 | Professional | AS · PA/NP assist | $190.55 | $660.69 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $5,888.44 | Facility | None | $3,467.37 | $3,981.07 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $4,265.80 Typical High $4,897.79 | Professional | None | $1,513.56 | $4,265.80 | $4,897.79 |
DeanCare Setting Facility Modifier None Typical Low $1,548.82 Median $7,762.47 Typical High $14,125.38 | Facility | None | $1,548.82 | $7,762.47 | $14,125.38 |
DeanCare Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,344.23 | $3,311.31 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $6,918.31 Typical High $15,848.93 | Facility | None | $1,412.54 | $6,918.31 | $15,848.93 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $4,265.80 Typical High $9,772.37 | Professional | None | $1,348.96 | $4,265.80 | $9,772.37 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,884.03 | $2,884.03 | $4,897.79 |
Prevea360 Setting Facility Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,691.53 | Facility | None | $1,202.26 | $1,584.89 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $4,365.16 | Professional | None | $1,230.27 | $2,570.40 | $4,365.16 |
Security Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
Security Health Setting Professional Modifier None Typical Low $5,128.61 Median $8,511.38 Typical High $12,882.50 | Professional | None | $5,128.61 | $8,511.38 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,584.89 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,754.23 Typical High $6,025.60 | Professional | None | $1,230.27 | $2,754.23 | $6,025.60 |
6 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 $912.01 Median $912.01 Typical High $7,079.46 | Professional | 52 · Reduced service | $912.01 | $912.01 | $7,079.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $2,818.38 | Professional | 53 · Discontinued | $363.08 | $363.08 | $2,818.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,380.38 Typical High $10,471.29 | Professional | 54 · Surgery only | $1,380.38 | $1,380.38 | $10,471.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $2,089.30 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $2,089.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $1,412.54 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $1,412.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,288.25 Typical High $9,772.37 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,288.25 | $9,772.37 |
Where Wisconsin sits
The same service costs 8.3 times more in Wyoming 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
$4,898
WY $5,623UT $676
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.