How much rates vary
Facilitymedian $1,778 · 10th to 90th $151 to $4,467Professionalmedian $209 · 10th to 90th $47 to $813
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 $33.11 Median $151.36 Typical High $14,454.40 | Facility | None | $33.11 | $151.36 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $151.36 Typical High $707.95 | Professional | None | $33.11 | $151.36 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $218.78 Typical High $933.25 | Professional | None | $58.88 | $218.78 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $35.48 Typical High $147.91 | Professional | 80 · Assistant surgeon | $9.33 | $35.48 | $147.91 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $30.90 Typical High $131.83 | Professional | AS · PA/NP assist | $8.13 | $30.90 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $616.60 | Facility | None | $363.08 | $416.87 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $154.88 Typical High $549.54 | Professional | None | $56.23 | $154.88 | $549.54 |
DeanCare Setting Facility Modifier None Typical Low $51.29 Median $2,754.23 Typical High $5,128.61 | Facility | None | $51.29 | $2,754.23 | $5,128.61 |
DeanCare Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $371.54 | Professional | None | $54.95 | $102.33 | $371.54 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $16.22 Typical High $60.26 | Professional | 80 · Assistant surgeon | $8.71 | $16.22 | $60.26 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $14.13 Typical High $52.48 | Professional | AS · PA/NP assist | $7.59 | $14.13 | $52.48 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $1,230.27 Typical High $1,778.28 | Facility | None | $63.10 | $1,230.27 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $1,000.00 | Professional | None | $208.93 | $501.19 | $1,000.00 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,344.23 | Facility | None | $831.76 | $1,819.70 | $2,344.23 |
Network Health Setting Professional Modifier None Typical Low $69.18 Median $208.93 Typical High $467.74 | Professional | None | $69.18 | $208.93 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $33.11 Median $63.10 Typical High $281.84 | Facility | None | $33.11 | $63.10 | $281.84 |
Quartz Setting Professional Modifier None Typical Low $44.67 Median $144.54 Typical High $588.84 | Professional | None | $44.67 | $144.54 | $588.84 |
Quartz Setting Professional Modifier None Typical Low $56.23 Median $120.23 Typical High $302.00 | Professional | None | $56.23 | $120.23 | $302.00 |
Security Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $512.86 | Professional | None | $109.65 | $109.65 | $512.86 |
Security Health Setting Professional Modifier None Typical Low $114.82 Median $489.78 Typical High $794.33 | Professional | None | $114.82 | $489.78 | $794.33 |
The Alliance Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $229.09 | Professional | None | $77.62 | $123.03 | $229.09 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,949.84 | Facility | None | $1,023.29 | $1,659.59 | $1,949.84 |
United Setting Professional Modifier None Typical Low $45.71 Median $173.78 Typical High $691.83 | Professional | None | $45.71 | $173.78 | $691.83 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $112.20 | Facility | 54 · Surgery only | $25.12 | $25.12 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $112.20 Typical High $549.54 | Professional | 54 · Surgery only | $25.12 | $112.20 | $549.54 |
DeanCare Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $50.12 Typical High $186.21 | Professional | 51 · Multiple procedures | $27.54 | $50.12 | $186.21 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $16.22 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $8.71 | $16.22 | $60.26 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $16.22 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $16.22 | $60.26 |
Where Wisconsin sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 1st of 51
$245
WI $245MD $52.48
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.