How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,072 to $13,183Professionalmedian $955 · 10th to 90th $525 to $4,266
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 $549.54 Median $1,905.46 Typical High $14,454.40 | Facility | None | $549.54 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $5,623.41 | Professional | None | $501.19 | $549.54 | $5,623.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $9,332.54 Typical High $16,982.44 | Facility | None | $5,754.40 | $9,332.54 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $1,584.89 Typical High $3,715.35 | Professional | None | $489.78 | $1,584.89 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $1,000.00 Typical High $2,344.23 | Professional | 62 · Two surgeons | $309.03 | $1,000.00 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,454.71 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $2,089.30 | Professional | None | $549.54 | $676.08 | $2,089.30 |
DeanCare Setting Facility Modifier None Typical Low $549.54 Median $3,311.31 Typical High $6,025.60 | Facility | None | $549.54 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,548.82 | Professional | None | $870.96 | $1,023.29 | $1,548.82 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $549.54 Median $645.65 Typical High $977.24 | Professional | 62 · Two surgeons | $549.54 | $645.65 | $977.24 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,162.28 Typical High $8,709.64 | Facility | None | $741.31 | $3,162.28 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,548.82 Typical High $4,466.84 | Professional | None | $562.34 | $1,548.82 | $4,466.84 |
Network Health Setting Facility Modifier None Typical Low $1,737.80 Median $5,754.40 Typical High $7,762.47 | Facility | None | $1,737.80 | $5,754.40 | $7,762.47 |
Network Health Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,380.38 | Professional | None | $691.83 | $1,047.13 | $1,380.38 |
Prevea360 Setting Facility Modifier None Typical Low $457.09 Median $549.54 Typical High $1,000.00 | Facility | None | $457.09 | $549.54 | $1,000.00 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $933.25 Typical High $2,137.96 | Professional | None | $446.68 | $933.25 | $2,137.96 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $5,248.07 Typical High $8,317.64 | Facility | None | $1,479.11 | $5,248.07 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $812.83 | Professional | None | $588.84 | $676.08 | $812.83 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Security Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,548.82 | $2,041.74 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,709.64 | Facility | None | $1,071.52 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $2,238.72 | Professional | None | $489.78 | $794.33 | $2,238.72 |
6 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 $371.54 Median $416.87 Typical High $4,265.80 | Professional | 54 · Surgery only | $371.54 | $416.87 | $4,265.80 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $436.52 Median $512.86 Typical High $776.25 | Professional | 51 · Multiple procedures | $436.52 | $512.86 | $776.25 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | 80 · Assistant surgeon | $138.04 | $162.18 | $251.19 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $138.04 | $162.18 | $251.19 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $138.04 | $162.18 | $251.19 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | AS · PA/NP assist | $123.03 | $144.54 | $218.78 |
Where Wisconsin sits
The same service costs 4.6 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· 4th of 51
$1,122
AK $1,950TX $427
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.