How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,175 to $14,454Professionalmedian $1,288 · 10th to 90th $708 to $4,898
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 $741.31 Median $3,090.30 Typical High $14,454.40 | Facility | None | $741.31 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $5,888.44 | Professional | None | $691.83 | $741.31 | $5,888.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $9,120.11 Typical High $16,982.44 | Facility | None | $1,202.26 | $9,120.11 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $2,187.76 Typical High $5,128.61 | Professional | None | $660.69 | $2,187.76 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,691.53 Typical High $9,549.93 | Facility | None | $1,023.29 | $2,691.53 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $2,818.38 | Professional | None | $724.44 | $912.01 | $2,818.38 |
DeanCare Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $5,370.32 | Facility | None | $741.31 | $2,818.38 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,380.38 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $6,606.93 Typical High $15,135.61 | Facility | None | $954.99 | $6,606.93 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,137.96 Typical High $4,897.79 | Professional | None | $741.31 | $2,137.96 | $4,897.79 |
Network Health Setting Facility Modifier None Typical Low $3,981.07 Median $9,332.54 Typical High $15,848.93 | Facility | None | $3,981.07 | $9,332.54 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $1,905.46 | Professional | None | $933.25 | $1,445.44 | $1,905.46 |
Prevea360 Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $1,380.38 | Facility | None | $602.56 | $741.31 | $1,380.38 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,884.03 | Professional | None | $691.83 | $1,412.54 | $2,884.03 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $6,456.54 Typical High $10,471.29 | Facility | None | $812.83 | $6,456.54 | $10,471.29 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,122.02 | Professional | None | $831.76 | $912.01 | $1,122.02 |
Security Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Security Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,137.96 | $2,818.38 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $7,585.78 Typical High $13,489.63 | Facility | None | $1,479.11 | $7,585.78 | $13,489.63 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $2,951.21 | Professional | None | $645.65 | $1,096.48 | $2,951.21 |
10 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 $512.86 Median $549.54 Typical High $4,466.84 | Professional | 54 · Surgery only | $512.86 | $549.54 | $4,466.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $512.86 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $478.63 | $512.86 | $4,168.69 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $588.84 Median $691.83 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $588.84 | $691.83 | $1,071.52 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,096.48 Typical High $1,737.80 | Professional | 54 · Surgery only | $933.25 | $1,096.48 | $1,737.80 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | 55 · Aftercare only | $234.42 | $275.42 | $426.58 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,148.15 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $977.24 | $1,148.15 | $1,819.70 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $218.78 Typical High $346.74 | Professional | 80 · Assistant surgeon | $186.21 | $218.78 | $346.74 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $218.78 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $186.21 | $218.78 | $346.74 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $218.78 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $218.78 | $346.74 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $190.55 Typical High $302.00 | Professional | AS · PA/NP assist | $162.18 | $190.55 | $302.00 |
Where Wisconsin sits
The same service costs 24.0 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· 3rd of 51
$1,514
AK $2,692TX $112
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.