How much rates vary
Facilitymedian $7,762 · 10th to 90th $309 to $18,197Professionalmedian $219 · 10th to 90th $117 to $813
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 $117.49 Median $117.49 Typical High $14,454.40 | Facility | None | $117.49 | $117.49 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $1,148.15 | Professional | None | $117.49 | $117.49 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $18,620.87 | Facility | None | $9,120.11 | $12,302.69 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $363.08 Typical High $831.76 | Professional | None | $117.49 | $363.08 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $60.26 Typical High $138.04 | Professional | 80 · Assistant surgeon | $19.05 | $60.26 | $138.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $50.12 Typical High $123.03 | Professional | AS · PA/NP assist | $16.60 | $50.12 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $1,479.11 | Facility | None | $269.15 | $363.08 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $446.68 | Professional | None | $169.82 | $199.53 | $446.68 |
DeanCare Setting Facility Modifier None Typical Low $117.49 Median $7,943.28 Typical High $14,791.08 | Facility | None | $117.49 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $380.19 | Professional | None | $181.97 | $213.80 | $380.19 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 80 · Assistant surgeon | $29.51 | $34.67 | $61.66 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $30.20 Typical High $53.70 | Professional | AS · PA/NP assist | $25.70 | $30.20 | $53.70 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $2,454.71 Typical High $18,197.01 | Facility | None | $281.84 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $371.54 Typical High $812.83 | Professional | None | $141.25 | $371.54 | $812.83 |
Network Health Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $2,089.30 | Facility | None | $158.49 | $223.87 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $371.54 | Professional | None | $151.36 | $288.40 | $371.54 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $239.88 | Facility | None | $95.50 | $117.49 | $239.88 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $229.09 Typical High $457.09 | Professional | None | $114.82 | $229.09 | $457.09 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,691.53 | Facility | None | $758.58 | $1,023.29 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $251.19 | Professional | None | $186.21 | $199.53 | $251.19 |
Security Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Security Health Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $602.56 | Professional | None | $363.08 | $478.63 | $602.56 |
United Setting Facility Modifier None Typical Low $602.56 Median $3,090.30 Typical High $18,197.01 | Facility | None | $602.56 | $3,090.30 | $18,197.01 |
United Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $501.19 | Professional | None | $123.03 | $208.93 | $501.19 |
4 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 $87.10 Median $87.10 Typical High $870.96 | Professional | 54 · Surgery only | $87.10 | $87.10 | $870.96 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $114.82 Median $134.90 Typical High $239.88 | Professional | 62 · Two surgeons | $114.82 | $134.90 | $239.88 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $29.51 | $34.67 | $61.66 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $34.67 | $61.66 |
Where Wisconsin sits
The same service costs 28.6 times more in Colorado than in Montana. 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 $10,158MT $356
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.