How much rates vary
Facilitymedian $9,333 · 10th to 90th $1,698 to $15,849Professionalmedian $1,738 · 10th to 90th $562 to $5,623
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 $562.34 Median $6,456.54 Typical High $14,454.40 | Facility | None | $562.34 | $6,456.54 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $7,585.78 | Professional | None | $562.34 | $562.34 | $7,585.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $12,022.64 Typical High $18,620.87 | Facility | None | $8,128.31 | $12,022.64 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $1,905.46 Typical High $4,466.84 | Professional | None | $562.34 | $1,905.46 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $1,202.26 Typical High $2,818.38 | Professional | 62 · Two surgeons | $354.81 | $1,202.26 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $302.00 Typical High $707.95 | Professional | 80 · Assistant surgeon | $91.20 | $302.00 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $263.03 Typical High $630.96 | Professional | AS · PA/NP assist | $79.43 | $263.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $6,456.54 Typical High $12,882.50 | Facility | None | $2,187.76 | $6,456.54 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $5,495.41 | Professional | None | $1,023.29 | $1,202.26 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,380.38 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,380.38 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $6,606.93 Typical High $13,489.63 | Facility | None | $1,047.13 | $6,606.93 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $4,265.80 Typical High $5,888.44 | Professional | None | $1,318.26 | $4,265.80 | $5,888.44 |
Network Health Setting Facility Modifier None Typical Low $4,073.80 Median $9,549.93 Typical High $15,848.93 | Facility | None | $4,073.80 | $9,549.93 | $15,848.93 |
Network Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,949.84 | $2,187.76 | $2,187.76 |
Prevea360 Setting Facility Modifier None Typical Low $616.60 Median $1,380.38 Typical High $2,630.27 | Facility | None | $616.60 | $1,380.38 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $537.03 Median $1,071.52 Typical High $1,778.28 | Professional | None | $537.03 | $1,071.52 | $1,778.28 |
Quartz Setting Facility Modifier None Typical Low $1,995.26 Median $8,511.38 Typical High $14,125.38 | Facility | None | $1,995.26 | $8,511.38 | $14,125.38 |
Quartz Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,202.26 | $1,202.26 | $1,318.26 |
Security Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Security Health Setting Professional Modifier None Typical Low $5,888.44 Median $7,585.78 Typical High $8,128.31 | Professional | None | $5,888.44 | $7,585.78 | $8,128.31 |
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 $501.19 Median $2,041.74 Typical High $6,309.57 | Professional | None | $501.19 | $2,041.74 | $6,309.57 |
2 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 $416.87 Median $416.87 Typical High $5,623.41 | Professional | 54 · Surgery only | $416.87 | $416.87 | $5,623.41 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $5,248.07 |
Where Wisconsin sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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
$1,950
AK $2,344HI $398
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.