How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,820 to $15,136Professionalmedian $4,074 · 10th to 90th $1,514 to $9,120
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 $1,513.56 Median $8,317.64 Typical High $14,454.40 | Facility | None | $1,513.56 | $8,317.64 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $14,125.38 | Professional | None | $1,513.56 | $1,513.56 | $14,125.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $10,000.00 Typical High $16,982.44 | Facility | None | $6,309.57 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $4,677.35 Typical High $10,000.00 | Professional | None | $1,318.26 | $4,677.35 | $10,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $7,079.46 Typical High $14,125.38 | Professional | 50 · Both sides | $1,949.84 | $7,079.46 | $14,125.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $2,951.21 Typical High $6,025.60 | Professional | 62 · Two surgeons | $831.76 | $2,951.21 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $741.31 Typical High $1,513.56 | Professional | 80 · Assistant surgeon | $208.93 | $741.31 | $1,513.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $660.69 Typical High $1,318.26 | Professional | AS · PA/NP assist | $181.97 | $660.69 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $4,466.84 Typical High $7,943.28 | Facility | None | $2,187.76 | $4,466.84 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $6,309.57 | Professional | None | $1,949.84 | $3,630.78 | $6,309.57 |
DeanCare Setting Facility Modifier None Typical Low $1,318.26 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,318.26 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,019.95 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $7,943.28 Typical High $15,135.61 | Facility | None | $1,258.93 | $7,943.28 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $4,168.69 Typical High $6,760.83 | Professional | None | $1,548.82 | $4,168.69 | $6,760.83 |
Network Health Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,011.87 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,884.03 | $3,981.07 |
Prevea360 Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,047.13 | $1,318.26 | $2,570.40 |
Quartz Setting Professional Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $5,248.07 | Professional | None | $1,258.93 | $2,884.03 | $5,248.07 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $5,754.40 Typical High $8,709.64 | Facility | None | $1,995.26 | $5,754.40 | $8,709.64 |
Quartz Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Security Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Security Health Setting Professional Modifier None Typical Low $5,495.41 Median $7,413.10 Typical High $8,317.64 | Professional | None | $5,495.41 | $7,413.10 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $4,168.69 Typical High $6,606.93 | Professional | None | $1,380.38 | $4,168.69 | $6,606.93 |
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 $1,148.15 Median $1,148.15 Typical High $10,715.19 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $10,715.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $10,000.00 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $10,000.00 |
Where Wisconsin sits
The same service costs 5.4 times more in Wisconsin 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· 1st of 51
$5,248
WI $5,248TX $977
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.