How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,349 to $15,849Professionalmedian $1,259 · 10th to 90th $692 to $4,898
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 $691.83 Median $8,511.38 Typical High $14,454.40 | Facility | None | $691.83 | $8,511.38 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $6,309.57 | Professional | None | $676.08 | $691.83 | $6,309.57 |
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 $630.96 Median $2,041.74 Typical High $4,897.79 | Professional | None | $630.96 | $2,041.74 | $4,897.79 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $1,288.25 Typical High $3,090.30 | Professional | 62 · Two surgeons | $398.11 | $1,288.25 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $323.59 Typical High $776.25 | Professional | 80 · Assistant surgeon | $100.00 | $323.59 | $776.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $288.40 Typical High $691.83 | Professional | AS · PA/NP assist | $89.13 | $288.40 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $7,585.78 | Facility | None | $1,348.96 | $2,754.23 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $2,630.27 | Professional | None | $831.76 | $1,174.90 | $2,630.27 |
DeanCare Setting Facility Modifier None Typical Low $691.83 Median $8,128.31 Typical High $15,135.61 | Facility | None | $691.83 | $8,128.31 | $15,135.61 |
DeanCare Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,288.25 | $2,137.96 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $812.83 Typical High $1,348.96 | Professional | 62 · Two surgeons | $691.83 | $812.83 | $1,348.96 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | 80 · Assistant surgeon | $173.78 | $204.17 | $338.84 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $181.97 Typical High $302.00 | Professional | AS · PA/NP assist | $151.36 | $181.97 | $302.00 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $7,585.78 Typical High $15,135.61 | Facility | None | $1,230.27 | $7,585.78 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,089.30 Typical High $4,897.79 | Professional | None | $741.31 | $2,089.30 | $4,897.79 |
Network Health Setting Facility Modifier None Typical Low $5,011.87 Median $10,715.19 Typical High $17,378.01 | Facility | None | $5,011.87 | $10,715.19 | $17,378.01 |
Network Health Setting Professional Modifier None Typical Low $870.96 Median $1,412.54 Typical High $1,819.70 | Professional | None | $870.96 | $1,412.54 | $1,819.70 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $691.83 Typical High $1,348.96 | Facility | None | $575.44 | $691.83 | $1,348.96 |
Quartz Setting Professional Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,691.53 | Professional | None | $691.83 | $1,412.54 | $2,691.53 |
Quartz Setting Facility Modifier None Typical Low $1,071.52 Median $5,128.61 Typical High $8,317.64 | Facility | None | $1,071.52 | $5,128.61 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,445.44 | Professional | None | $891.25 | $1,174.90 | $1,445.44 |
Security Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Security Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $3,467.37 | Professional | None | $1,778.28 | $2,691.53 | $3,467.37 |
The Alliance Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $15,488.17 | Facility | None | $1,698.24 | $8,912.51 | $15,488.17 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,071.52 Typical High $2,884.03 | Professional | None | $660.69 | $1,071.52 | $2,884.03 |
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 $489.78 Median $489.78 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $4,466.84 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $549.54 Median $645.65 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $549.54 | $645.65 | $1,071.52 |
DeanCare Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,023.29 Typical High $1,698.24 | Professional | 54 · Surgery only | $870.96 | $1,023.29 | $1,698.24 |
DeanCare Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $257.04 Typical High $426.58 | Professional | 55 · Aftercare only | $218.78 | $257.04 | $426.58 |
DeanCare Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,071.52 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $912.01 | $1,071.52 | $1,819.70 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | 81 · Minimal assistant surgeon | $173.78 | $204.17 | $338.84 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $204.17 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $204.17 | $338.84 |
Where Wisconsin sits
The same service costs 5.3 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 $11,104MT $2,095
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.