How much rates vary
Facilitymedian $3,548 · 10th to 90th $347 to $10,233Professionalmedian $631 · 10th to 90th $295 to $1,698
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 $223.87 Median $309.03 Typical High $14,454.40 | Facility | None | $223.87 | $309.03 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $2,884.03 | Professional | None | $223.87 | $309.03 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $8,709.64 | Facility | None | $2,818.38 | $4,786.30 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $812.83 Typical High $1,659.59 | Professional | None | $302.00 | $812.83 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $1,202.26 Typical High $2,511.89 | Professional | 50 · Both sides | $457.09 | $1,202.26 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $190.55 Median $512.86 Typical High $1,047.13 | Professional | 62 · Two surgeons | $190.55 | $512.86 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $758.58 Typical High $1,412.54 | Facility | None | $309.03 | $758.58 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,288.25 | Professional | None | $389.05 | $562.34 | $1,288.25 |
DeanCare Setting Facility Modifier None Typical Low $269.15 Median $3,162.28 Typical High $5,888.44 | Facility | None | $269.15 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $776.25 | Professional | None | $398.11 | $549.54 | $776.25 |
DeanCare Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $831.76 Typical High $1,174.90 | Professional | 50 · Both sides | $602.56 | $831.76 | $1,174.90 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $251.19 Median $346.74 Typical High $489.78 | Professional | 62 · Two surgeons | $251.19 | $346.74 | $489.78 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $3,467.37 Typical High $10,964.78 | Facility | None | $446.68 | $3,467.37 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $1,174.90 Typical High $2,344.23 | Professional | None | $371.54 | $1,174.90 | $2,344.23 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $954.99 | Professional | None | $389.05 | $676.08 | $954.99 |
Prevea360 Setting Facility Modifier None Typical Low $218.78 Median $346.74 Typical High $630.96 | Facility | None | $218.78 | $346.74 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $1,348.96 | Professional | None | $380.19 | $707.95 | $1,348.96 |
Quartz Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $1,479.11 | Facility | None | $302.00 | $457.09 | $1,479.11 |
Quartz Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $691.83 | Professional | None | $407.38 | $549.54 | $691.83 |
Security Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $1,023.29 | Professional | None | $724.44 | $724.44 | $1,023.29 |
Security Health Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,041.74 | Professional | None | $912.01 | $1,445.44 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,309.57 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,309.57 | $11,481.54 |
United Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $1,445.44 | Professional | None | $269.15 | $512.86 | $1,445.44 |
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 Facility Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $154.88 Typical High $213.80 | Facility | 78 · Unplanned return to OR | $154.88 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $213.80 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $154.88 | $213.80 | $1,995.26 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $275.42 Typical High $389.05 | Professional | 51 · Multiple procedures | $199.53 | $275.42 | $389.05 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $436.52 Typical High $616.60 | Professional | 54 · Surgery only | $316.23 | $436.52 | $616.60 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $109.65 Typical High $154.88 | Professional | 55 · Aftercare only | $79.43 | $109.65 | $154.88 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $457.09 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $331.13 | $457.09 | $660.69 |
Where Wisconsin sits
The same service costs 5.0 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
$741
AK $912TX $182
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.