How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,000 to $7,943Professionalmedian $1,413 · 10th to 90th $501 to $6,607
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 $416.87 Median $1,000.00 Typical High $14,454.40 | Facility | None | $416.87 | $1,000.00 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,000.00 Typical High $15,135.61 | Professional | None | $416.87 | $1,000.00 | $15,135.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $6,165.95 | Facility | None | $1,949.84 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $1,778.28 Typical High $7,585.78 | Professional | None | $562.34 | $1,778.28 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,288.25 | $2,137.96 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,388.44 | Professional | None | $512.86 | $1,230.27 | $3,388.44 |
DeanCare Setting Facility Modifier None Typical Low $446.68 Median $3,162.28 Typical High $5,888.44 | Facility | None | $446.68 | $3,162.28 | $5,888.44 |
DeanCare Setting Professional Modifier None Typical Low $660.69 Median $1,380.38 Typical High $2,398.83 | Professional | None | $660.69 | $1,380.38 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $8,317.64 | Facility | None | $724.44 | $2,818.38 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $4,786.30 Typical High $15,488.17 | Professional | None | $1,348.96 | $4,786.30 | $15,488.17 |
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 $954.99 Median $1,479.11 Typical High $7,585.78 | Professional | None | $954.99 | $1,479.11 | $7,585.78 |
Prevea360 Setting Facility Modifier None Typical Low $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Quartz Setting Professional Modifier None Typical Low $616.60 Median $1,621.81 Typical High $3,311.31 | Professional | None | $616.60 | $1,621.81 | $3,311.31 |
Quartz Setting Facility Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,454.71 | Facility | None | $1,148.15 | $1,584.89 | $2,454.71 |
Quartz Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $1,513.56 | Professional | None | $512.86 | $1,230.27 | $1,513.56 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,548.13 | Professional | None | $1,412.54 | $1,412.54 | $3,548.13 |
Security Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,951.21 Typical High $5,623.41 | Professional | None | $1,412.54 | $2,951.21 | $5,623.41 |
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 $467.74 Median $1,348.96 Typical High $4,570.88 | Professional | None | $467.74 | $1,348.96 | $4,570.88 |
9 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 Facility Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $741.31 | Facility | 54 · Surgery only | $316.23 | $316.23 | $741.31 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $691.83 | Facility | 78 · Unplanned return to OR | $295.12 | $295.12 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $741.31 Typical High $11,220.18 | Professional | 54 · Surgery only | $316.23 | $741.31 | $11,220.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $691.83 Typical High $10,471.29 | Professional | 78 · Unplanned return to OR | $295.12 | $691.83 | $10,471.29 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $691.83 Typical High $1,202.26 | Professional | 51 · Multiple procedures | $331.13 | $691.83 | $1,202.26 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $223.87 Typical High $380.19 | Professional | 80 · Assistant surgeon | $107.15 | $223.87 | $380.19 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $223.87 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $107.15 | $223.87 | $380.19 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $223.87 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $223.87 | $380.19 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $194.98 Typical High $338.84 | Professional | AS · PA/NP assist | $93.33 | $194.98 | $338.84 |
Where Wisconsin sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 6th of 51
$1,514
NC $2,042DC $457
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.