How much rates vary
Facilitymedian $3,090 · 10th to 90th $589 to $6,166Professionalmedian $209 · 10th to 90th $115 to $851
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 $114.82 Median $3,090.30 Typical High $14,454.40 | Facility | None | $114.82 | $3,090.30 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $1,023.29 | Professional | None | $109.65 | $114.82 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,818.38 | $4,786.30 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $794.33 | Professional | None | $104.71 | $331.13 | $794.33 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $66.07 Median $213.80 Typical High $501.19 | Professional | 62 · Two surgeons | $66.07 | $213.80 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,122.02 Typical High $3,630.78 | Facility | None | $269.15 | $1,122.02 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $436.52 | Professional | None | $154.88 | $194.98 | $436.52 |
DeanCare Setting Facility Modifier None Typical Low $114.82 Median $2,818.38 Typical High $5,370.32 | Facility | None | $114.82 | $2,818.38 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $354.81 | Professional | None | $181.97 | $213.80 | $354.81 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $114.82 Median $134.90 Typical High $223.87 | Professional | 62 · Two surgeons | $114.82 | $134.90 | $223.87 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $2,398.83 Typical High $6,760.83 | Facility | None | $588.84 | $2,398.83 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $346.74 Typical High $912.01 | Professional | None | $123.03 | $346.74 | $912.01 |
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 $141.25 Median $234.42 Typical High $302.00 | Professional | None | $141.25 | $234.42 | $302.00 |
Prevea360 Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $218.78 | Facility | None | $95.50 | $114.82 | $218.78 |
Quartz Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $446.68 | Professional | None | $109.65 | $229.09 | $446.68 |
Quartz Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $3,981.07 | Facility | None | $851.14 | $2,398.83 | $3,981.07 |
Quartz Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $239.88 | Professional | None | $165.96 | $194.98 | $239.88 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Security Health Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $562.34 | Professional | None | $309.03 | $446.68 | $562.34 |
The Alliance Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $707.95 | Professional | None | $354.81 | $616.60 | $707.95 |
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 $107.15 Median $181.97 Typical High $478.63 | Professional | None | $107.15 | $181.97 | $478.63 |
5 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 |
|---|---|---|---|---|---|
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $107.15 Typical High $177.83 | Professional | 51 · Multiple procedures | $91.20 | $107.15 | $177.83 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $33.88 Typical High $56.23 | Professional | 80 · Assistant surgeon | $28.84 | $33.88 | $56.23 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $33.88 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $28.84 | $33.88 | $56.23 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $33.88 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $33.88 | $56.23 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $29.51 Typical High $48.98 | Professional | AS · PA/NP assist | $25.12 | $29.51 | $48.98 |
Where Wisconsin sits
The same service costs 13.3 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 $4,506MT $340
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.