How much rates vary
Facilitymedian $2,188 · 10th to 90th $282 to $4,786Professionalmedian $224 · 10th to 90th $123 to $955
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 $123.03 Median $1,905.46 Typical High $14,454.40 | Facility | None | $123.03 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $1,258.93 | Professional | None | $123.03 | $123.03 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $5,248.07 | Facility | None | $1,949.84 | $2,041.74 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $363.08 Typical High $870.96 | Professional | None | $120.23 | $363.08 | $870.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $75.86 Median $229.09 Typical High $549.54 | Professional | 62 · Two surgeons | $75.86 | $229.09 | $549.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $58.88 Typical High $141.25 | Professional | 80 · Assistant surgeon | $19.05 | $58.88 | $141.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $47.86 Typical High $107.15 | Professional | AS · PA/NP assist | $15.85 | $47.86 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $1,380.38 | Facility | None | $281.84 | $331.13 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $457.09 | Professional | None | $173.78 | $208.93 | $457.09 |
DeanCare Setting Facility Modifier None Typical Low $123.03 Median $3,311.31 Typical High $6,025.60 | Facility | None | $123.03 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $398.11 | Professional | None | $190.55 | $223.87 | $398.11 |
DeanCare Setting Professional Modifier 62 · Two surgeons Typical Low $120.23 Median $141.25 Typical High $245.47 | Professional | 62 · Two surgeons | $120.23 | $141.25 | $245.47 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 80 · Assistant surgeon | $30.90 | $36.31 | $63.10 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | AS · PA/NP assist | $26.92 | $31.62 | $54.95 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $2,344.23 Typical High $4,365.16 | Facility | None | $467.74 | $2,344.23 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $380.19 Typical High $1,148.15 | Professional | None | $134.90 | $380.19 | $1,148.15 |
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 $154.88 Median $263.03 Typical High $338.84 | Professional | None | $154.88 | $263.03 | $338.84 |
Prevea360 Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $245.47 | Facility | None | $100.00 | $123.03 | $245.47 |
Quartz Setting Professional Modifier None Typical Low $117.49 Median $234.42 Typical High $467.74 | Professional | None | $117.49 | $234.42 | $467.74 |
Quartz Setting Facility Modifier None Typical Low $724.44 Median $1,023.29 Typical High $2,691.53 | Facility | None | $724.44 | $1,023.29 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $257.04 | Professional | None | $186.21 | $208.93 | $257.04 |
Security Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Security Health Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $616.60 | Professional | None | $371.54 | $489.78 | $616.60 |
United Setting Facility Modifier None Typical Low $707.95 Median $2,754.23 Typical High $4,677.35 | Facility | None | $707.95 | $2,754.23 | $4,677.35 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $524.81 | Professional | None | $120.23 | $194.98 | $524.81 |
3 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 $91.20 Median $91.20 Typical High $933.25 | Professional | 54 · Surgery only | $91.20 | $91.20 | $933.25 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $30.90 | $36.31 | $63.10 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $36.31 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $36.31 | $63.10 |
Where Wisconsin sits
The same service costs 4.9 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· 4th of 51
$257
AK $468UT $95.50
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.