How much rates vary
Facilitymedian $2,951 · 10th to 90th $708 to $10,000Professionalmedian $676 · 10th to 90th $525 to $3,890
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 $645.65 Median $5,888.44 Typical High $15,848.93 | Facility | None | $645.65 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $645.65 | Professional | None | $524.81 | $575.44 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $1,995.26 | Professional | None | $512.86 | $562.34 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,202.26 Typical High $6,760.83 | Facility | None | $100.00 | $1,202.26 | $6,760.83 |
Blue Shield Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $954.99 | Professional | None | $446.68 | $630.96 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,148.15 | Professional | None | $691.83 | $912.01 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,754.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,754.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,230.27 | Professional | None | $630.96 | $724.44 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,148.15 | Professional | None | $549.54 | $831.76 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $2,041.74 | Professional | None | $676.08 | $933.25 | $2,041.74 |
Lucent Health Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $7,413.10 | Professional | None | $5,754.40 | $5,754.40 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,122.02 | Professional | None | $676.08 | $676.08 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $2,691.53 Typical High $5,248.07 | Facility | None | $691.83 | $2,691.53 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $1,230.27 | Professional | None | $630.96 | $707.95 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,398.83 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,479.11 | Professional | None | $562.34 | $724.44 | $1,479.11 |
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 $363.08 Median $398.11 Typical High $436.52 | Facility | 78 · Unplanned return to OR | $363.08 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $398.11 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $363.08 | $398.11 | $436.52 |
Where California sits
The same service costs 4.5 times more in Alaska than in South Carolina. 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 $7,738SC $1,719
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.