How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,622 to $20,417Professionalmedian $2,951 · 10th to 90th $1,622 to $10,965
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 $1,621.81 Median $8,511.38 Typical High $14,454.40 | Facility | None | $1,621.81 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $15,488.17 | Professional | None | $1,584.89 | $1,621.81 | $15,488.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $16,982.44 Typical High $28,183.83 | Facility | None | $12,022.64 | $16,982.44 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $4,786.30 Typical High $11,481.54 | Professional | None | $1,621.81 | $4,786.30 | $11,481.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $758.58 Typical High $1,862.09 | Professional | 80 · Assistant surgeon | $257.04 | $758.58 | $1,862.09 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $676.08 Typical High $1,621.81 | Professional | AS · PA/NP assist | $223.87 | $676.08 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $5,754.40 Typical High $12,882.50 | Facility | None | $1,023.29 | $5,754.40 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $6,165.95 | Professional | None | $1,949.84 | $2,754.23 | $6,165.95 |
DeanCare Setting Facility Modifier None Typical Low $1,621.81 Median $8,128.31 Typical High $15,135.61 | Facility | None | $1,621.81 | $8,128.31 | $15,135.61 |
DeanCare Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $5,128.61 | Professional | None | $2,511.89 | $2,951.21 | $5,128.61 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $478.63 Typical High $812.83 | Professional | 80 · Assistant surgeon | $407.38 | $478.63 | $812.83 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $416.87 Typical High $707.95 | Professional | AS · PA/NP assist | $354.81 | $416.87 | $707.95 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $16,595.87 | Facility | None | $1,479.11 | $7,943.28 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $4,897.79 Typical High $10,964.78 | Professional | None | $1,819.70 | $4,897.79 | $10,964.78 |
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 $2,041.74 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,041.74 | $3,388.44 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $3,162.28 | Facility | None | $1,318.26 | $1,621.81 | $3,162.28 |
Quartz Setting Professional Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $6,309.57 | Professional | None | $1,584.89 | $3,235.94 | $6,309.57 |
Quartz Setting Facility Modifier None Typical Low $812.83 Median $9,120.11 Typical High $14,125.38 | Facility | None | $812.83 | $9,120.11 | $14,125.38 |
Quartz Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,238.72 | $2,754.23 | $3,388.44 |
Security Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Security Health Setting Professional Modifier None Typical Low $3,981.07 Median $6,456.54 Typical High $8,128.31 | Professional | None | $3,981.07 | $6,456.54 | $8,128.31 |
The Alliance Setting Professional Modifier None Typical Low $4,677.35 Median $8,511.38 Typical High $10,000.00 | Professional | None | $4,677.35 | $8,511.38 | $10,000.00 |
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 $1,584.89 Median $2,691.53 Typical High $6,760.83 | Professional | None | $1,584.89 | $2,691.53 | $6,760.83 |
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 Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $11,748.98 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $11,748.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $10,964.78 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $10,964.78 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $1,258.93 Median $1,479.11 Typical High $2,570.40 | Professional | 51 · Multiple procedures | $1,258.93 | $1,479.11 | $2,570.40 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,398.83 Typical High $4,073.80 | Professional | 54 · Surgery only | $2,041.74 | $2,398.83 | $4,073.80 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $602.56 Typical High $1,023.29 | Professional | 55 · Aftercare only | $501.19 | $602.56 | $1,023.29 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $1,862.09 Typical High $3,235.94 | Professional | 62 · Two surgeons | $1,584.89 | $1,862.09 | $3,235.94 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,511.89 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,511.89 | $4,265.80 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $407.38 Median $478.63 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $407.38 | $478.63 | $812.83 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $407.38 Median $478.63 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $407.38 | $478.63 | $812.83 |
Where Wisconsin sits
The same service costs 3.9 times more in Colorado than in Florida. 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.
Physician feeFacility fee
CO $16,496FL $4,250
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.