How much rates vary
Facilitymedian $933 · 10th to 90th $282 to $8,511Professionalmedian $363 · 10th to 90th $257 to $851
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 $457.09 Median $6,456.54 Typical High $15,848.93 | Facility | None | $457.09 | $6,456.54 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $691.83 | Professional | None | $269.15 | $371.54 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $7,943.28 Typical High $16,982.44 | Facility | None | $3,630.78 | $7,943.28 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $1,023.29 | Professional | None | $257.04 | $331.13 | $1,023.29 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,479.11 Typical High $7,079.46 | Facility | None | $100.00 | $1,479.11 | $7,079.46 |
Blue Shield Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $524.81 | Professional | None | $223.87 | $323.59 | $524.81 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $588.84 | Professional | None | $229.09 | $302.00 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $724.44 Typical High $1,905.46 | Facility | None | $512.86 | $724.44 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $645.65 | Professional | None | $288.40 | $398.11 | $645.65 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $588.84 | Professional | None | $162.18 | $295.12 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $812.83 | Professional | None | $239.88 | $446.68 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $588.84 | Professional | None | $354.81 | $354.81 | $588.84 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $3,890.45 | Facility | None | $457.09 | $758.58 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $645.65 | Professional | None | $288.40 | $389.05 | $645.65 |
Sutter Health Plus Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,412.54 | Professional | None | $912.01 | $912.01 | $1,412.54 |
United Setting Facility Modifier None Typical Low $147.91 Median $933.25 Typical High $1,778.28 | Facility | None | $147.91 | $933.25 | $1,778.28 |
United Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $741.31 | Professional | None | $229.09 | $354.81 | $741.31 |
12 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 $144.54 Median $154.88 Typical High $204.17 | Facility | 52 · Reduced service | $144.54 | $154.88 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $81.28 | Facility | 53 · Discontinued | $57.54 | $61.66 | $81.28 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $218.78 Median $234.42 Typical High $309.03 | Facility | 54 · Surgery only | $218.78 | $234.42 | $309.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $61.66 | Facility | 55 · Aftercare only | $43.65 | $46.77 | $61.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $40.74 | Facility | 56 · Pre-op care only | $28.84 | $30.90 | $40.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $218.78 Typical High $288.40 | Facility | 78 · Unplanned return to OR | $204.17 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $54.95 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $204.17 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $40.74 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $27.54 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $190.55 | $229.09 | $263.03 |
Where California sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 42nd of 51
$372
AK $1,122KY $331
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.