How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,318 to $8,128Professionalmedian $2,818 · 10th to 90th $955 to $7,413
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 $1,348.96 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,348.96 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $10,232.93 | Professional | None | $1,348.96 | $1,348.96 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $3,388.44 Typical High $7,244.36 | Professional | None | $977.24 | $3,388.44 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $5,128.61 Typical High $10,964.78 | Professional | 50 · Both sides | $1,479.11 | $5,128.61 | $10,964.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $549.54 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $158.49 | $549.54 | $1,148.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $478.63 Typical High $1,023.29 | Professional | AS · PA/NP assist | $138.04 | $478.63 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $3,801.89 | Facility | None | $1,348.96 | $2,630.27 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,949.84 Typical High $3,630.78 | Professional | None | $724.44 | $1,949.84 | $3,630.78 |
DeanCare Setting Facility Modifier None Typical Low $1,096.48 Median $5,623.41 Typical High $10,232.93 | Facility | None | $1,096.48 | $5,623.41 | $10,232.93 |
DeanCare Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,454.71 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,630.78 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $3,090.30 Typical High $7,413.10 | Professional | None | $1,000.00 | $3,090.30 | $7,413.10 |
Network Health Setting Facility Modifier None Typical Low $1,862.09 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,862.09 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,089.30 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,905.46 | Facility | None | $933.25 | $1,148.15 | $1,905.46 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $1,949.84 Typical High $3,162.28 | Professional | None | $933.25 | $1,949.84 | $3,162.28 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,071.52 | $2,290.87 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,949.84 Typical High $2,137.96 | Professional | None | $724.44 | $1,949.84 | $2,137.96 |
Security Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $6,309.57 Typical High $9,549.93 | Professional | None | $3,715.35 | $6,309.57 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $870.96 Median $2,041.74 Typical High $4,466.84 | Professional | None | $870.96 | $2,041.74 | $4,466.84 |
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 $676.08 Median $676.08 Typical High $5,128.61 | Professional | 52 · Reduced service | $676.08 | $676.08 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $2,041.74 | Professional | 53 · Discontinued | $269.15 | $269.15 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $7,762.47 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $7,762.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $1,548.82 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $7,244.36 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $7,244.36 |
Where Wisconsin sits
The same service costs 7.2 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
$3,020
AK $3,981UT $550
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.