How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,047 to $11,220Professionalmedian $1,349 · 10th to 90th $275 to $5,623
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 $218.78 Median $1,047.13 Typical High $14,454.40 | Facility | None | $218.78 | $1,047.13 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $1,047.13 Typical High $4,786.30 | Professional | None | $218.78 | $1,047.13 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $11,481.54 | Facility | None | $5,011.87 | $8,317.64 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $1,380.38 Typical High $6,606.93 | Professional | None | $288.40 | $1,380.38 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,187.76 | $2,951.21 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $977.24 Typical High $2,691.53 | Professional | None | $371.54 | $977.24 | $2,691.53 |
DeanCare Setting Facility Modifier None Typical Low $229.09 Median $2,630.27 Typical High $5,128.61 | Facility | None | $229.09 | $2,630.27 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $338.84 Median $812.83 Typical High $2,570.40 | Professional | None | $338.84 | $812.83 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $10,964.78 | Facility | None | $741.31 | $4,073.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $4,365.16 Typical High $7,413.10 | Professional | None | $1,698.24 | $4,365.16 | $7,413.10 |
Network Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,762.47 Typical High $9,120.11 | Facility | None | $2,691.53 | $7,762.47 | $9,120.11 |
Network Health Setting Professional Modifier None Typical Low $512.86 Median $1,584.89 Typical High $3,630.78 | Professional | None | $512.86 | $1,584.89 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $1,995.26 | Facility | None | $213.80 | $416.87 | $1,995.26 |
Quartz Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $4,168.69 | Professional | None | $295.12 | $954.99 | $4,168.69 |
Quartz Setting Facility Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $5,370.32 | Facility | None | $1,479.11 | $3,235.94 | $5,370.32 |
Quartz Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $1,905.46 | Professional | None | $371.54 | $776.25 | $1,905.46 |
Security Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $3,801.89 | Professional | None | $724.44 | $724.44 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $5,888.44 | Professional | None | $741.31 | $1,202.26 | $5,888.44 |
The Alliance Setting Professional Modifier None Typical Low $302.00 Median $831.76 Typical High $1,479.11 | Professional | None | $302.00 | $831.76 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $6,456.54 Typical High $11,481.54 | Facility | None | $1,318.26 | $6,456.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $257.04 Median $1,122.02 Typical High $5,011.87 | Professional | None | $257.04 | $1,122.02 | $5,011.87 |
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 Facility Modifier 54 · Surgery only Typical Low $162.18 Median $162.18 Typical High $794.33 | Facility | 54 · Surgery only | $162.18 | $162.18 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $794.33 Typical High $3,981.07 | Professional | 54 · Surgery only | $162.18 | $794.33 | $3,981.07 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $407.38 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $169.82 | $407.38 | $1,258.93 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $131.83 Typical High $407.38 | Professional | 80 · Assistant surgeon | $54.95 | $131.83 | $407.38 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $131.83 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $54.95 | $131.83 | $407.38 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $131.83 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $131.83 | $407.38 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $114.82 Typical High $354.81 | Professional | AS · PA/NP assist | $47.86 | $114.82 | $354.81 |
Where Wisconsin sits
The same service costs 3.5 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 $7,057MT $2,039
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.