How much rates vary
Facilitymedian $5,129 · 10th to 90th $759 to $16,218Professionalmedian $1,660 · 10th to 90th $759 to $5,370
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 $758.58 Median $758.58 Typical High $14,454.40 | Facility | None | $758.58 | $758.58 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $6,918.31 | Professional | None | $741.31 | $758.58 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,748.98 | Facility | None | $5,011.87 | $8,317.64 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $2,238.72 Typical High $5,128.61 | Professional | None | $676.08 | $2,238.72 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $1,412.54 Typical High $3,235.94 | Professional | 62 · Two surgeons | $426.58 | $1,412.54 | $3,235.94 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $354.81 Typical High $831.76 | Professional | 80 · Assistant surgeon | $107.15 | $354.81 | $831.76 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $316.23 Typical High $724.44 | Professional | AS · PA/NP assist | $95.50 | $316.23 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,311.31 Typical High $5,128.61 | Facility | None | $812.83 | $3,311.31 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $4,677.35 | Professional | None | $1,202.26 | $1,380.38 | $4,677.35 |
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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $2,454.71 Typical High $18,197.01 | Facility | None | $436.52 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $5,248.07 | Professional | None | $1,202.26 | $3,801.89 | $5,248.07 |
Network Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,511.89 | $2,511.89 |
Prevea360 Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,290.87 | Facility | None | $758.58 | $1,380.38 | $2,290.87 |
Quartz Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $2,187.76 | Professional | None | $724.44 | $1,445.44 | $2,187.76 |
Quartz Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $3,630.78 | Facility | None | $758.58 | $1,071.52 | $3,630.78 |
Quartz Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Security Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Security Health Setting Professional Modifier None Typical Low $5,128.61 Median $6,606.93 Typical High $7,079.46 | Professional | None | $5,128.61 | $6,606.93 | $7,079.46 |
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 $676.08 Median $1,778.28 Typical High $5,495.41 | Professional | None | $676.08 | $1,778.28 | $5,495.41 |
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 $562.34 Median $562.34 Typical High $5,248.07 | Professional | 54 · Surgery only | $562.34 | $562.34 | $5,248.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $4,897.79 |
Where Wisconsin sits
The same service costs 8.5 times more in Alaska than in Kentucky. 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
$1,820
AK $2,884KY $339
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.