How much rates vary
Facilitymedian $2,818 · 10th to 90th $708 to $6,166Professionalmedian $661 · 10th to 90th $363 to $2,455
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 $363.08 Median $1,905.46 Typical High $14,454.40 | Facility | None | $363.08 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $3,090.30 | Professional | None | $354.81 | $363.08 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,467.37 Typical High $6,165.95 | Facility | None | $1,202.26 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $1,047.13 Typical High $2,454.71 | Professional | None | $323.59 | $1,047.13 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $204.17 Median $660.69 Typical High $1,548.82 | Professional | 62 · Two surgeons | $204.17 | $660.69 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $165.96 Typical High $398.11 | Professional | 80 · Assistant surgeon | $51.29 | $165.96 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $147.91 Typical High $346.74 | Professional | AS · PA/NP assist | $44.67 | $147.91 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $2,818.38 | Facility | None | $758.58 | $1,479.11 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,380.38 | Professional | None | $407.38 | $616.60 | $1,380.38 |
DeanCare Setting Facility Modifier None Typical Low $354.81 Median $7,943.28 Typical High $14,791.08 | Facility | None | $354.81 | $7,943.28 | $14,791.08 |
DeanCare Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,071.52 | Professional | None | $575.44 | $676.08 | $1,071.52 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $426.58 Typical High $676.08 | Professional | 62 · Two surgeons | $363.08 | $426.58 | $676.08 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 80 · Assistant surgeon | $91.20 | $107.15 | $173.78 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $93.33 Typical High $151.36 | Professional | AS · PA/NP assist | $79.43 | $93.33 | $151.36 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $2,398.83 Typical High $5,623.41 | Facility | None | $616.60 | $2,398.83 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $1,047.13 Typical High $2,454.71 | Professional | None | $363.08 | $1,047.13 | $2,454.71 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $4,786.30 | Facility | None | $1,445.44 | $2,818.38 | $4,786.30 |
Network Health Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $912.01 | Professional | None | $446.68 | $707.95 | $912.01 |
Prevea360 Setting Facility Modifier None Typical Low $302.00 Median $354.81 Typical High $660.69 | Facility | None | $302.00 | $354.81 | $660.69 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $758.58 Typical High $1,412.54 | Professional | None | $371.54 | $758.58 | $1,412.54 |
Quartz Setting Facility Modifier None Typical Low $676.08 Median $1,905.46 Typical High $3,090.30 | Facility | None | $676.08 | $1,905.46 | $3,090.30 |
Quartz Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $741.31 | Professional | None | $446.68 | $616.60 | $741.31 |
Security Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Security Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,348.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $4,897.79 | Facility | None | $707.95 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $1,445.44 | Professional | None | $331.13 | $537.03 | $1,445.44 |
7 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 78 · Unplanned return to OR Typical Low $245.47 Median $251.19 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $245.47 | $251.19 | $2,187.76 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $338.84 Typical High $537.03 | Professional | 51 · Multiple procedures | $288.40 | $338.84 | $537.03 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $537.03 Typical High $870.96 | Professional | 54 · Surgery only | $457.09 | $537.03 | $870.96 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $134.90 Typical High $213.80 | Professional | 55 · Aftercare only | $114.82 | $134.90 | $213.80 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $562.34 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $478.63 | $562.34 | $912.01 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $91.20 | $107.15 | $173.78 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $107.15 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $107.15 | $173.78 |
Where Wisconsin sits
The same service costs 5.2 times more in Alaska than in Utah. 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
$776
AK $1,380UT $263
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.