How much rates vary
Facilitymedian $1,950 · 10th to 90th $617 to $7,244Professionalmedian $646 · 10th to 90th $513 to $3,311
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 $660.69 Median $5,888.44 Typical High $15,848.93 | Facility | None | $660.69 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $660.69 | Professional | None | $537.03 | $588.84 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $1,737.80 | Professional | None | $512.86 | $562.34 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,202.26 Typical High $6,309.57 | Facility | None | $100.00 | $1,202.26 | $6,309.57 |
Blue Shield Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $933.25 | Professional | None | $416.87 | $602.56 | $933.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,047.13 | Professional | None | $630.96 | $812.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,778.28 Typical High $3,388.44 | Facility | None | $676.08 | $1,778.28 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,047.13 | Professional | None | $602.56 | $691.83 | $1,047.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,000.00 | Professional | None | $549.54 | $758.58 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,862.09 | Professional | None | $616.60 | $812.83 | $1,862.09 |
Lucent Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,760.83 | Professional | None | $5,011.87 | $5,011.87 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,023.29 | Professional | None | $616.60 | $616.60 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $4,168.69 | Facility | None | $691.83 | $1,778.28 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,096.48 | Professional | None | $602.56 | $691.83 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,041.74 | $2,290.87 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,258.93 | Professional | None | $501.19 | $645.65 | $1,258.93 |
2 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 78 · Unplanned return to OR Typical Low $380.19 Median $407.38 Typical High $457.09 | Facility | 78 · Unplanned return to OR | $380.19 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $407.38 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $371.54 | $407.38 | $457.09 |
Where California sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.