How much rates vary
Facilitymedian $5,012 · 10th to 90th $282 to $14,454Professionalmedian $158 · 10th to 90th $85 to $589
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 $85.11 Median $85.11 Typical High $14,454.40 | Facility | None | $85.11 | $85.11 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $812.83 | Professional | None | $85.11 | $85.11 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $7,585.78 Typical High $11,481.54 | Facility | None | $5,011.87 | $7,585.78 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $257.04 Typical High $602.56 | Professional | None | $81.28 | $257.04 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $1,584.89 | Facility | None | $199.53 | $263.03 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $323.59 | Professional | None | $120.23 | $144.54 | $323.59 |
DeanCare Setting Facility Modifier None Typical Low $85.11 Median $2,818.38 Typical High $5,370.32 | Facility | None | $85.11 | $2,818.38 | $5,370.32 |
DeanCare Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $275.42 | Professional | None | $134.90 | $158.49 | $275.42 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $2,454.71 Typical High $18,197.01 | Facility | None | $281.84 | $2,454.71 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $263.03 Typical High $588.84 | Professional | None | $100.00 | $263.03 | $588.84 |
Network Health Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $2,089.30 | Facility | None | $114.82 | $158.49 | $2,089.30 |
Network Health Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $229.09 | Professional | None | $107.15 | $177.83 | $229.09 |
Prevea360 Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $173.78 | Facility | None | $70.79 | $85.11 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $331.13 | Professional | None | $81.28 | $162.18 | $331.13 |
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 $125.89 Median $144.54 Typical High $177.83 | Professional | None | $125.89 | $144.54 | $177.83 |
Security Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Security Health Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $426.58 | Professional | None | $257.04 | $338.84 | $426.58 |
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 $85.11 Median $144.54 Typical High $363.08 | Professional | None | $85.11 | $144.54 | $363.08 |
6 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 $64.57 Median $64.57 Typical High $616.60 | Professional | 54 · Surgery only | $64.57 | $64.57 | $616.60 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $85.11 Median $100.00 Typical High $173.78 | Professional | 62 · Two surgeons | $85.11 | $100.00 | $173.78 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $25.12 Typical High $43.65 | Professional | 80 · Assistant surgeon | $21.38 | $25.12 | $43.65 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $25.12 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $21.38 | $25.12 | $43.65 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $25.12 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $25.12 | $43.65 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $21.88 Typical High $38.02 | Professional | AS · PA/NP assist | $18.62 | $21.88 | $38.02 |
Where Wisconsin sits
The same service costs 25.4 times more in Alabama 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
AL $6,554MT $258
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.