How much rates vary
Facilitymedian $8,710 · 10th to 90th $891 to $18,197Professionalmedian $8,128 · 10th to 90th $2,951 to $18,197
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 $2,951.21 Median $2,951.21 Typical High $14,454.40 | Facility | None | $2,951.21 | $2,951.21 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $23,442.29 | Professional | None | $2,951.21 | $2,951.21 | $23,442.29 |
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 $2,570.40 Median $9,332.54 Typical High $19,498.45 | Professional | None | $2,570.40 | $9,332.54 | $19,498.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,621.81 Median $5,754.40 Typical High $12,302.69 | Professional | 62 · Two surgeons | $1,621.81 | $5,754.40 | $12,302.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $1,479.11 Typical High $3,162.28 | Professional | 80 · Assistant surgeon | $416.87 | $1,479.11 | $3,162.28 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $363.08 Median $1,288.25 Typical High $2,754.23 | Professional | AS · PA/NP assist | $363.08 | $1,288.25 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,754.40 Typical High $8,912.51 | Facility | None | $812.83 | $5,754.40 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $7,079.46 Typical High $12,302.69 | Professional | None | $3,890.45 | $7,079.46 | $12,302.69 |
DeanCare Setting Facility Modifier None Typical Low $2,630.27 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,630.27 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $7,943.28 | Professional | None | $4,786.30 | $5,888.44 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,630.27 Typical High $18,197.01 | Facility | None | $436.52 | $2,630.27 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $8,128.31 Typical High $13,182.57 | Professional | None | $2,818.38 | $8,128.31 | $13,182.57 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $4,786.30 | Facility | None | $2,089.30 | $3,388.44 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $3,235.94 Median $5,623.41 Typical High $7,585.78 | Professional | None | $3,235.94 | $5,623.41 | $7,585.78 |
Prevea360 Setting Facility Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,630.27 | $5,011.87 |
Quartz Setting Professional Modifier None Typical Low $2,454.71 Median $5,623.41 Typical High $10,232.93 | Professional | None | $2,454.71 | $5,623.41 | $10,232.93 |
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 $3,890.45 Median $3,890.45 Typical High $5,370.32 | Professional | None | $3,890.45 | $3,890.45 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | None | $11,748.98 | $11,748.98 | $11,748.98 |
Security Health Setting Professional Modifier None Typical Low $11,220.18 Median $14,454.40 Typical High $16,595.87 | Professional | None | $11,220.18 | $14,454.40 | $16,595.87 |
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 $2,691.53 Median $8,317.64 Typical High $12,882.50 | Professional | None | $2,691.53 | $8,317.64 | $12,882.50 |
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 $2,089.30 Median $2,089.30 Typical High $16,595.87 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,089.30 | $16,595.87 |
Where Wisconsin sits
The same service costs 5.8 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
$8,128
AK $9,550TX $1,660
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.