How much rates vary
Facilitymedian $8,318 · 10th to 90th $891 to $18,197Professionalmedian $6,918 · 10th to 90th $2,512 to $15,136
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 $2,511.89 Median $2,511.89 Typical High $14,454.40 | Facility | None | $2,511.89 | $2,511.89 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $20,417.38 | Professional | None | $2,511.89 | $2,511.89 | $20,417.38 |
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 $2,187.76 Median $7,762.47 Typical High $16,595.87 | Professional | None | $2,187.76 | $7,762.47 | $16,595.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $4,897.79 Typical High $9,772.37 | Professional | 62 · Two surgeons | $1,380.38 | $4,897.79 | $9,772.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $1,230.27 Typical High $2,511.89 | Professional | 80 · Assistant surgeon | $346.74 | $1,230.27 | $2,511.89 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $302.00 Median $1,071.52 Typical High $2,187.76 | Professional | AS · PA/NP assist | $302.00 | $1,071.52 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,897.79 Typical High $7,413.10 | Facility | None | $812.83 | $4,897.79 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,235.94 Median $6,025.60 Typical High $10,471.29 | Professional | None | $3,235.94 | $6,025.60 | $10,471.29 |
DeanCare Setting Facility Modifier None Typical Low $2,187.76 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,187.76 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $6,760.83 | Professional | None | $3,981.07 | $5,011.87 | $6,760.83 |
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 $2,398.83 Median $6,918.31 Typical High $11,220.18 | Professional | None | $2,398.83 | $6,918.31 | $11,220.18 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,168.69 | Facility | None | $2,089.30 | $2,818.38 | $4,168.69 |
Network Health Setting Professional Modifier None Typical Low $2,754.23 Median $4,786.30 Typical High $6,456.54 | Professional | None | $2,754.23 | $4,786.30 | $6,456.54 |
Prevea360 Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $4,265.80 | Facility | None | $1,737.80 | $2,187.76 | $4,265.80 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $4,786.30 Typical High $8,709.64 | Professional | None | $2,089.30 | $4,786.30 | $8,709.64 |
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 $3,235.94 Median $3,235.94 Typical High $4,466.84 | Professional | None | $3,235.94 | $3,235.94 | $4,466.84 |
Security Health Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | None | $9,772.37 | $9,772.37 | $9,772.37 |
Security Health Setting Professional Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $13,803.84 | Professional | None | $9,120.11 | $12,302.69 | $13,803.84 |
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 $2,290.87 Median $6,918.31 Typical High $10,715.19 | Professional | None | $2,290.87 | $6,918.31 | $10,715.19 |
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 $1,905.46 Median $1,905.46 Typical High $15,135.61 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $15,135.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $14,125.38 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $14,125.38 |
Where Wisconsin sits
The same service costs 5.4 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
$7,244
AK $8,128TX $1,514
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.