How much rates vary
Facilitymedian $5,248 · 10th to 90th $813 to $16,218Professionalmedian $1,950 · 10th to 90th $813 to $6,310
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 $812.83 Median $812.83 Typical High $14,454.40 | Facility | None | $812.83 | $812.83 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $16,595.87 | Professional | None | $812.83 | $812.83 | $16,595.87 |
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 $758.58 Median $2,511.89 Typical High $5,888.44 | Professional | None | $758.58 | $2,511.89 | $5,888.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $1,584.89 Typical High $3,715.35 | Professional | 62 · Two surgeons | $478.63 | $1,584.89 | $3,715.35 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $407.38 Typical High $954.99 | Professional | 80 · Assistant surgeon | $123.03 | $407.38 | $954.99 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $354.81 Typical High $831.76 | Professional | AS · PA/NP assist | $107.15 | $354.81 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $5,888.44 | Facility | None | $812.83 | $3,801.89 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $5,495.41 | Professional | None | $1,348.96 | $1,621.81 | $5,495.41 |
DeanCare Setting Facility Modifier None Typical Low $1,479.11 Median $7,943.28 Typical High $14,791.08 | Facility | None | $1,479.11 | $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 $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 $1,548.82 Median $4,365.16 Typical High $5,888.44 | Professional | None | $1,548.82 | $4,365.16 | $5,888.44 |
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 $2,951.21 Median $2,951.21 Typical High $3,715.35 | Professional | None | $2,951.21 | $2,951.21 | $3,715.35 |
Prevea360 Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $2,630.27 | Facility | None | $870.96 | $1,479.11 | $2,630.27 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,584.89 Typical High $2,454.71 | Professional | None | $794.33 | $1,584.89 | $2,454.71 |
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 $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
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 $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 $794.33 Median $2,187.76 Typical High $6,309.57 | Professional | None | $794.33 | $2,187.76 | $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 $616.60 Median $616.60 Typical High $12,302.69 | Professional | 54 · Surgery only | $616.60 | $616.60 | $12,302.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $11,481.54 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $11,481.54 |
Where Wisconsin sits
The same service costs 7.9 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· 6th of 51
$2,089
AK $3,236KY $407
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.