How much rates vary
Facilitymedian $8,318 · 10th to 90th $891 to $18,197Professionalmedian $5,248 · 10th to 90th $1,905 to $11,482
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 $1,905.46 Median $1,905.46 Typical High $14,454.40 | Facility | None | $1,905.46 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $15,135.61 | Professional | None | $1,905.46 | $1,905.46 | $15,135.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $12,589.25 Typical High $19,952.62 | Facility | None | $10,000.00 | $12,589.25 | $19,952.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $5,888.44 Typical High $12,589.25 | Professional | None | $1,659.59 | $5,888.44 | $12,589.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $3,715.35 Typical High $7,413.10 | Professional | 62 · Two surgeons | $1,047.13 | $3,715.35 | $7,413.10 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $933.25 Typical High $1,905.46 | Professional | 80 · Assistant surgeon | $263.03 | $933.25 | $1,905.46 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $812.83 Typical High $1,659.59 | Professional | AS · PA/NP assist | $229.09 | $812.83 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,715.35 Typical High $5,623.41 | Facility | None | $812.83 | $3,715.35 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $4,570.88 Typical High $7,943.28 | Professional | None | $2,511.89 | $4,570.88 | $7,943.28 |
DeanCare Setting Facility Modifier None Typical Low $1,659.59 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,659.59 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $5,128.61 | Professional | None | $3,090.30 | $3,801.89 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $5,248.07 Typical High $8,511.38 | Professional | None | $1,778.28 | $5,248.07 | $8,511.38 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $3,019.95 | Facility | None | $2,089.30 | $2,137.96 | $3,019.95 |
Network Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $4,786.30 | Professional | None | $2,089.30 | $3,630.78 | $4,786.30 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,318.26 | $1,659.59 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $6,606.93 | Professional | None | $1,584.89 | $3,630.78 | $6,606.93 |
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 $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
Security Health Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Security Health Setting Professional Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $10,471.29 | Professional | None | $6,918.31 | $9,332.54 | $10,471.29 |
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 $1,737.80 Median $5,248.07 Typical High $8,128.31 | Professional | None | $1,737.80 | $5,248.07 | $8,128.31 |
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 $1,445.44 Median $1,445.44 Typical High $11,220.18 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $11,220.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $10,471.29 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $10,471.29 |
Where Wisconsin sits
The same service costs 5.9 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
$5,495
AK $6,166TX $1,047
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.