How much rates vary
Facilitymedian $1,698 · 10th to 90th $724 to $8,511Professionalmedian $871 · 10th to 90th $661 to $3,020
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 $954.99 Median $6,456.54 Typical High $15,848.93 | Facility | None | $954.99 | $6,456.54 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,548.82 | Professional | None | $691.83 | $870.96 | $1,548.82 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,862.09 | Professional | None | $912.01 | $1,174.90 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $2,344.23 | Professional | None | $645.65 | $776.25 | $2,344.23 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,737.80 Typical High $7,244.36 | Facility | None | $100.00 | $1,737.80 | $7,244.36 |
Blue Shield Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,288.25 | Professional | None | $588.84 | $831.76 | $1,288.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,288.25 | Professional | None | $616.60 | $851.14 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $3,467.37 | Facility | None | $645.65 | $1,778.28 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,445.44 | Professional | None | $776.25 | $954.99 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $851.14 Typical High $1,258.93 | Professional | None | $426.58 | $851.14 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $2,137.96 | Professional | None | $676.08 | $1,023.29 | $2,137.96 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,943.28 | Professional | None | $6,760.83 | $6,760.83 | $7,943.28 |
Molina Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | None | $776.25 | $776.25 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $4,168.69 | Facility | None | $707.95 | $1,737.80 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,445.44 | Professional | None | $776.25 | $954.99 | $1,445.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
United Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $4,466.84 | Facility | None | $676.08 | $933.25 | $4,466.84 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,621.81 | Professional | None | $602.56 | $851.14 | $1,621.81 |
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 $363.08 Median $389.05 Typical High $478.63 | Facility | 52 · Reduced service | $363.08 | $389.05 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $190.55 | Facility | 53 · Discontinued | $144.54 | $154.88 | $190.55 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $707.95 | Facility | 54 · Surgery only | $549.54 | $588.84 | $707.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $109.65 Median $117.49 Typical High $141.25 | Facility | 55 · Aftercare only | $109.65 | $117.49 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $95.50 | Facility | 56 · Pre-op care only | $72.44 | $77.62 | $95.50 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $660.69 | Facility | 78 · Unplanned return to OR | $512.86 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $138.04 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $512.86 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $102.33 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $549.54 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $478.63 | $549.54 | $660.69 |
Where California sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 39th of 51
$912
AK $3,090TX $708
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.