How much rates vary
Facilitymedian $12,303 · 10th to 90th $2,089 to $22,387Professionalmedian $5,370 · 10th to 90th $2,089 to $14,791
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 $2,089.30 Median $9,549.93 Typical High $14,454.40 | Facility | None | $2,089.30 | $9,549.93 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $16,595.87 | Professional | None | $2,089.30 | $2,089.30 | $16,595.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $15,135.61 Typical High $24,547.09 | Facility | None | $10,715.19 | $15,135.61 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $7,943.28 Typical High $15,848.93 | Professional | None | $2,041.74 | $7,943.28 | $15,848.93 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $5,011.87 Typical High $10,000.00 | Professional | 62 · Two surgeons | $1,288.25 | $5,011.87 | $10,000.00 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $1,258.93 Typical High $2,511.89 | Professional | 80 · Assistant surgeon | $331.13 | $1,258.93 | $2,511.89 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $1,096.48 Typical High $2,187.76 | Professional | AS · PA/NP assist | $288.40 | $1,096.48 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $7,413.10 Typical High $29,512.09 | Facility | None | $1,023.29 | $7,413.10 | $29,512.09 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $10,232.93 | Professional | None | $3,467.37 | $3,801.89 | $10,232.93 |
DeanCare Setting Facility Modifier None Typical Low $2,344.23 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,344.23 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $6,309.57 | Professional | None | $3,311.31 | $4,570.88 | $6,309.57 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $2,089.30 Median $2,884.03 Typical High $3,981.07 | Professional | 62 · Two surgeons | $2,089.30 | $2,884.03 | $3,981.07 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $524.81 Median $741.31 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $524.81 | $741.31 | $1,000.00 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $467.74 Median $645.65 Typical High $891.25 | Professional | AS · PA/NP assist | $467.74 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $8,511.38 Typical High $19,498.45 | Facility | None | $1,445.44 | $8,511.38 | $19,498.45 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,786.30 Typical High $16,218.10 | Professional | None | $2,344.23 | $4,786.30 | $16,218.10 |
Network Health Setting Facility Modifier None Typical Low $3,388.44 Median $12,882.50 Typical High $27,542.29 | Facility | None | $3,388.44 | $12,882.50 | $27,542.29 |
Network Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,677.35 Typical High $6,025.60 | Professional | None | $2,630.27 | $4,677.35 | $6,025.60 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $4,677.35 | Facility | None | $1,949.84 | $2,344.23 | $4,677.35 |
Quartz Setting Professional Modifier None Typical Low $2,511.89 Median $5,754.40 Typical High $9,772.37 | Professional | None | $2,511.89 | $5,754.40 | $9,772.37 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $19,498.45 Typical High $32,359.37 | Facility | None | $812.83 | $19,498.45 | $32,359.37 |
Quartz Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,897.79 | Professional | None | $3,801.89 | $3,801.89 | $4,897.79 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Security Health Setting Professional Modifier None Typical Low $6,309.57 Median $13,182.57 Typical High $15,135.61 | Professional | None | $6,309.57 | $13,182.57 | $15,135.61 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $10,964.78 Typical High $20,417.38 | Facility | None | $2,041.74 | $10,964.78 | $20,417.38 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $4,570.88 Typical High $10,471.29 | Professional | None | $2,238.72 | $4,570.88 | $10,471.29 |
8 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 $1,584.89 Median $1,584.89 Typical High $12,302.69 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $12,302.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $11,481.54 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $11,481.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,659.59 Median $2,290.87 Typical High $3,162.28 | Professional | 51 · Multiple procedures | $1,659.59 | $2,290.87 | $3,162.28 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $3,715.35 Typical High $5,011.87 | Professional | 54 · Surgery only | $2,630.27 | $3,715.35 | $5,011.87 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $912.01 Typical High $1,258.93 | Professional | 55 · Aftercare only | $660.69 | $912.01 | $1,258.93 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $3,890.45 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $2,754.23 | $3,890.45 | $5,248.07 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $524.81 Median $741.31 Typical High $1,000.00 | Professional | 81 · Minimal assistant surgeon | $524.81 | $741.31 | $1,000.00 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $524.81 Median $741.31 Typical High $1,000.00 | Professional | 82 · Assistant surgeon, no resident | $524.81 | $741.31 | $1,000.00 |
Where Wisconsin sits
The same service costs 8.1 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
$6,918
AK $9,550TX $1,175
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.