How much rates vary
Facilitymedian $8,318 · 10th to 90th $891 to $18,197Professionalmedian $5,754 · 10th to 90th $2,138 to $12,882
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 $2,137.96 Median $2,137.96 Typical High $14,454.40 | Facility | None | $2,137.96 | $2,137.96 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $16,595.87 | Professional | None | $2,137.96 | $2,137.96 | $16,595.87 |
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 $1,862.09 Median $6,606.93 Typical High $14,125.38 | Professional | None | $1,862.09 | $6,606.93 | $14,125.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,148.15 Median $4,073.80 Typical High $8,317.64 | Professional | 62 · Two surgeons | $1,148.15 | $4,073.80 | $8,317.64 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $1,047.13 Typical High $2,089.30 | Professional | 80 · Assistant surgeon | $295.12 | $1,047.13 | $2,089.30 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $891.25 Typical High $1,949.84 | Professional | AS · PA/NP assist | $251.19 | $891.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,073.80 Typical High $6,309.57 | Facility | None | $812.83 | $4,073.80 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $5,011.87 Typical High $8,912.51 | Professional | None | $2,754.23 | $5,011.87 | $8,912.51 |
DeanCare Setting Facility Modifier None Typical Low $1,862.09 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,862.09 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $5,623.41 | Professional | None | $3,388.44 | $4,168.69 | $5,623.41 |
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 $2,187.76 Median $5,888.44 Typical High $9,332.54 | Professional | None | $2,187.76 | $5,888.44 | $9,332.54 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $3,388.44 | Facility | None | $2,089.30 | $2,398.83 | $3,388.44 |
Network Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,981.07 Typical High $5,370.32 | Professional | None | $2,344.23 | $3,981.07 | $5,370.32 |
Prevea360 Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $3,548.13 | Facility | None | $1,445.44 | $1,862.09 | $3,548.13 |
Quartz Setting Professional Modifier None Typical Low $1,778.28 Median $4,073.80 Typical High $7,413.10 | Professional | None | $1,778.28 | $4,073.80 | $7,413.10 |
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 $2,754.23 Median $2,754.23 Typical High $3,801.89 | Professional | None | $2,754.23 | $2,754.23 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Security Health Setting Professional Modifier None Typical Low $7,762.47 Median $10,471.29 Typical High $11,748.98 | Professional | None | $7,762.47 | $10,471.29 | $11,748.98 |
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 $1,949.84 Median $5,888.44 Typical High $9,120.11 | Professional | None | $1,949.84 | $5,888.44 | $9,120.11 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,479.11 Typical High $11,748.98 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $11,748.98 |
Where Wisconsin sits
The same service costs 5.6 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
$6,026
AK $6,761TX $1,202
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.