How much rates vary
Facilitymedian $6,918 · 10th to 90th $912 to $16,982Professionalmedian $7,762 · 10th to 90th $2,818 to $16,982
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 $2,818.38 Median $2,818.38 Typical High $14,454.40 | Facility | None | $2,818.38 | $2,818.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $23,442.29 | Professional | None | $2,818.38 | $2,818.38 | $23,442.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,606.93 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $8,912.51 Typical High $18,197.01 | Professional | None | $2,454.71 | $8,912.51 | $18,197.01 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,548.82 Median $5,495.41 Typical High $11,481.54 | Professional | 62 · Two surgeons | $1,548.82 | $5,495.41 | $11,481.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $1,412.54 Typical High $2,884.03 | Professional | 80 · Assistant surgeon | $398.11 | $1,412.54 | $2,884.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $1,230.27 Typical High $2,511.89 | Professional | AS · PA/NP assist | $346.74 | $1,230.27 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,495.41 Typical High $8,317.64 | Facility | None | $812.83 | $5,495.41 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $6,760.83 Typical High $11,748.98 | Professional | None | $3,715.35 | $6,760.83 | $11,748.98 |
DeanCare Setting Facility Modifier None Typical Low $2,511.89 Median $7,943.28 Typical High $14,791.08 | Facility | None | $2,511.89 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $4,570.88 Median $5,623.41 Typical High $7,762.47 | Professional | None | $4,570.88 | $5,623.41 | $7,762.47 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,570.40 Typical High $18,197.01 | Facility | None | $436.52 | $2,570.40 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $7,943.28 Typical High $12,589.25 | Professional | None | $2,818.38 | $7,943.28 | $12,589.25 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,089.30 | $3,162.28 | $4,677.35 |
Network Health Setting Professional Modifier None Typical Low $3,090.30 Median $5,370.32 Typical High $7,585.78 | Professional | None | $3,090.30 | $5,370.32 | $7,585.78 |
Prevea360 Setting Facility Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $4,897.79 | Facility | None | $1,949.84 | $2,511.89 | $4,897.79 |
Quartz Setting Professional Modifier None Typical Low $2,344.23 Median $5,370.32 Typical High $10,000.00 | Professional | None | $2,344.23 | $5,370.32 | $10,000.00 |
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 $3,715.35 Median $3,715.35 Typical High $5,128.61 | Professional | None | $3,715.35 | $3,715.35 | $5,128.61 |
Security Health Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Security Health Setting Professional Modifier None Typical Low $10,232.93 Median $13,803.84 Typical High $15,848.93 | Professional | None | $10,232.93 | $13,803.84 | $15,848.93 |
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 $2,630.27 Median $7,943.28 Typical High $12,302.69 | Professional | None | $2,630.27 | $7,943.28 | $12,302.69 |
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 $2,137.96 Median $2,137.96 Typical High $17,378.01 | Professional | 54 · Surgery only | $2,137.96 | $2,137.96 | $17,378.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $1,995.26 Typical High $16,218.10 | Professional | 78 · Unplanned return to OR | $1,995.26 | $1,995.26 | $16,218.10 |
Where Wisconsin sits
The same service costs 6.5 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
$7,586
AK $9,120TX $1,413
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.