How much rates vary
Facilitymedian $8,710 · 10th to 90th $912 to $18,197Professionalmedian $3,311 · 10th to 90th $1,175 to $5,248
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 $1,000.00 Median $1,000.00 Typical High $14,454.40 | Facility | None | $1,000.00 | $1,000.00 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $12,882.50 | Professional | None | $1,000.00 | $1,000.00 | $12,882.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,882.50 Typical High $20,417.38 | Facility | None | $10,000.00 | $12,882.50 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $3,801.89 Typical High $5,495.41 | Professional | None | $1,445.44 | $3,801.89 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $5,623.41 Typical High $8,317.64 | Professional | 50 · Both sides | $2,187.76 | $5,623.41 | $8,317.64 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $912.01 Median $2,398.83 Typical High $3,467.37 | Professional | 62 · Two surgeons | $912.01 | $2,398.83 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $234.42 Median $602.56 Typical High $870.96 | Professional | 80 · Assistant surgeon | $234.42 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $524.81 Typical High $776.25 | Professional | AS · PA/NP assist | $204.17 | $524.81 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,090.30 Typical High $4,677.35 | Facility | None | $812.83 | $3,090.30 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,905.46 | $2,570.40 | $4,168.69 |
DeanCare Setting Facility Modifier None Typical Low $1,288.25 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,288.25 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $3,890.45 | Professional | None | $2,089.30 | $3,090.30 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $2,454.71 Typical High $18,197.01 | Facility | None | $512.86 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,884.03 Typical High $5,011.87 | Professional | None | $1,348.96 | $2,884.03 | $5,011.87 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,344.23 | Facility | None | $1,737.80 | $2,089.30 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,951.21 Typical High $3,311.31 | Professional | None | $1,737.80 | $2,951.21 | $3,311.31 |
Prevea360 Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,454.71 | Facility | None | $977.24 | $1,288.25 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $1,318.26 Median $3,019.95 Typical High $5,011.87 | Professional | None | $1,318.26 | $3,019.95 | $5,011.87 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,238.72 | $3,311.31 |
Security Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Security Health Setting Professional Modifier None Typical Low $2,089.30 Median $5,011.87 Typical High $5,888.44 | Professional | None | $2,089.30 | $5,011.87 | $5,888.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $4,897.79 | Professional | None | $1,174.90 | $2,951.21 | $4,897.79 |
2 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 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $9,549.93 | Professional | 54 · Surgery only | $758.58 | $758.58 | $9,549.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $8,912.51 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $8,912.51 |
Where Wisconsin sits
The same service costs 6.8 times more in Alaska than in Texas. 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
$3,631
AK $5,012TX $741
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.