How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,202 to $7,943Professionalmedian $2,754 · 10th to 90th $933 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 $6,456.54 Typical High $14,454.40 | Facility | None | $1,348.96 | $6,456.54 | $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 $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $3,311.31 Typical High $7,244.36 | Professional | None | $954.99 | $3,311.31 | $7,244.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $5,011.87 Typical High $10,715.19 | Professional | 50 · Both sides | $1,445.44 | $5,011.87 | $10,715.19 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $602.56 Median $2,089.30 Typical High $4,570.88 | Professional | 62 · Two surgeons | $602.56 | $2,089.30 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,570.40 Typical High $3,311.31 | Facility | None | $954.99 | $2,570.40 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,905.46 Typical High $3,630.78 | Professional | None | $724.44 | $1,905.46 | $3,630.78 |
DeanCare Setting Facility Modifier None Typical Low $1,071.52 Median $4,365.16 Typical High $7,762.47 | Facility | None | $1,071.52 | $4,365.16 | $7,762.47 |
DeanCare Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $2,884.03 | Professional | None | $1,698.24 | $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 $977.24 Median $3,019.95 Typical High $7,413.10 | Professional | None | $977.24 | $3,019.95 | $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 $2,041.74 Median $2,041.74 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,041.74 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,819.70 | Facility | None | $933.25 | $1,071.52 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $933.25 Median $1,949.84 Typical High $3,090.30 | Professional | None | $933.25 | $1,949.84 | $3,090.30 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,995.26 Typical High $3,162.28 | Facility | None | $758.58 | $1,995.26 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,905.46 Typical High $2,137.96 | Professional | None | $724.44 | $1,905.46 | $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 $3,548.13 Median $6,309.57 Typical High $9,549.93 | Professional | None | $3,548.13 | $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 $851.14 Median $1,949.84 Typical High $4,365.16 | Professional | None | $851.14 | $1,949.84 | $4,365.16 |
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 $5,011.87 | Professional | 52 · Reduced service | $676.08 | $676.08 | $5,011.87 |
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 $1,000.00 Median $1,000.00 Typical High $7,585.78 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $7,585.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $1,513.56 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $1,513.56 |
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 $933.25 Median $933.25 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $7,079.46 |
Where Wisconsin sits
The same service costs 7.4 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 $537
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.