How much rates vary
Facilitymedian $1,096 · 10th to 90th $525 to $6,761Professionalmedian $347 · 10th to 90th $240 to $1,288
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 $478.63 Median $5,888.44 Typical High $15,848.93 | Facility | None | $478.63 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $645.65 | Professional | None | $251.19 | $363.08 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $977.24 | Professional | None | $229.09 | $316.23 | $977.24 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,584.89 Typical High $6,309.57 | Facility | None | $100.00 | $1,584.89 | $6,309.57 |
Blue Shield Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $489.78 | Professional | None | $190.55 | $275.42 | $489.78 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $549.54 | Professional | None | $281.84 | $426.58 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,174.90 Typical High $2,454.71 | Facility | None | $575.44 | $1,174.90 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $588.84 | Professional | None | $269.15 | $371.54 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $537.03 | Professional | None | $275.42 | $331.13 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $776.25 | Professional | None | $245.47 | $426.58 | $776.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $549.54 | Professional | None | $331.13 | $331.13 | $549.54 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $1,148.15 Typical High $3,801.89 | Facility | None | $446.68 | $1,148.15 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $588.84 | Professional | None | $269.15 | $371.54 | $588.84 |
Sutter Health Plus Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $524.81 Median $933.25 Typical High $3,388.44 | Facility | None | $524.81 | $933.25 | $3,388.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $676.08 | Professional | None | $223.87 | $338.84 | $676.08 |
13 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 52 · Reduced service Typical Low $128.82 Median $134.90 Typical High $194.98 | Facility | 52 · Reduced service | $128.82 | $134.90 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $77.62 | Facility | 53 · Discontinued | $51.29 | $54.95 | $77.62 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $194.98 Median $204.17 Typical High $295.12 | Facility | 54 · Surgery only | $194.98 | $204.17 | $295.12 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $38.90 Median $40.74 Typical High $58.88 | Facility | 55 · Aftercare only | $38.90 | $40.74 | $58.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $25.70 Median $26.92 Typical High $38.90 | Facility | 56 · Pre-op care only | $25.70 | $26.92 | $38.90 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $190.55 Typical High $275.42 | Facility | 78 · Unplanned return to OR | $181.97 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | 52 · Reduced service | $123.03 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $48.98 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $234.42 Typical High $269.15 | Professional | 54 · Surgery only | $181.97 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $46.77 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $31.62 Typical High $36.31 | Professional | 56 · Pre-op care only | $24.55 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $218.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $169.82 | $218.78 | $251.19 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 51 · Multiple procedures | $117.49 | $117.49 | $117.49 |
Where California sits
The same service costs 3.9 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.
California· 41st of 51
$372
AK $1,259UT $324
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.