How much rates vary
Facilitymedian $1,622 · 10th to 90th $724 to $8,913Professionalmedian $891 · 10th to 90th $676 to $6,457
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,318.26 | Professional | None | $741.31 | $794.33 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $3,801.89 | Professional | None | $676.08 | $758.58 | $3,801.89 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,737.80 Typical High $7,943.28 | Facility | None | $100.00 | $1,737.80 | $7,943.28 |
Blue Shield Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,122.02 | Professional | None | $549.54 | $776.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,949.84 Typical High $3,890.45 | Facility | None | $645.65 | $1,949.84 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,513.56 | Professional | None | $758.58 | $891.25 | $1,513.56 |
Contra Costa Health Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,148.15 | Professional | None | $954.99 | $1,047.13 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $2,511.89 | Professional | None | $776.25 | $954.99 | $2,511.89 |
Lucent Health Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,079.46 | Professional | None | $6,456.54 | $6,456.54 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,128.61 | Facility | None | $707.95 | $1,995.26 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,479.11 | Professional | None | $758.58 | $891.25 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $5,495.41 | Facility | None | $724.44 | $741.31 | $5,495.41 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,698.24 | Professional | None | $691.83 | $870.96 | $1,698.24 |
7 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 Professional Modifier 52 · Reduced service Typical Low $346.74 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $588.84 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $117.49 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $549.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,412.54 Typical High $2,187.76 | Professional | 50 · Both sides | $1,122.02 | $1,412.54 | $2,187.76 |
Where California sits
The same service costs 7.6 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· 37th of 51
$933
AK $3,631TX $479
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.