How much rates vary
Facilitymedian $1,413 · 10th to 90th $724 to $6,607Professionalmedian $741 · 10th to 90th $537 to $4,786
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 $812.83 Median $5,888.44 Typical High $15,848.93 | Facility | None | $812.83 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $812.83 | Professional | None | $588.84 | $660.69 | $812.83 |
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 $537.03 Median $630.96 Typical High $2,754.23 | Professional | None | $537.03 | $630.96 | $2,754.23 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,659.59 Typical High $5,754.40 | Facility | None | $100.00 | $1,659.59 | $5,754.40 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $1,023.29 | Professional | None | $467.74 | $676.08 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,995.26 Typical High $3,801.89 | Facility | None | $758.58 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,348.96 | Professional | None | $676.08 | $831.76 | $1,348.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,288.25 | Professional | None | $776.25 | $1,047.13 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $2,187.76 | Professional | None | $676.08 | $1,023.29 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,128.31 | Professional | None | $6,309.57 | $6,309.57 | $8,128.31 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $1,778.28 Typical High $3,467.37 | Facility | None | $707.95 | $1,778.28 | $3,467.37 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,348.96 | Professional | None | $676.08 | $831.76 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,344.23 | $2,884.03 |
United Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $3,548.13 | Facility | None | $724.44 | $741.31 | $3,548.13 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,513.56 | Professional | None | $562.34 | $741.31 | $1,513.56 |
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 $316.23 Median $331.13 Typical High $407.38 | Facility | 52 · Reduced service | $316.23 | $331.13 | $407.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $162.18 | Facility | 53 · Discontinued | $125.89 | $131.83 | $162.18 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $467.74 Median $501.19 Typical High $602.56 | Facility | 54 · Surgery only | $467.74 | $501.19 | $602.56 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $120.23 | Facility | 55 · Aftercare only | $93.33 | $100.00 | $120.23 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $81.28 | Facility | 56 · Pre-op care only | $63.10 | $66.07 | $81.28 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $467.74 Typical High $562.34 | Facility | 78 · Unplanned return to OR | $436.52 | $467.74 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $295.12 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $117.49 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $501.19 Typical High $588.84 | Professional | 54 · Surgery only | $446.68 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | 56 · Pre-op care only | $58.88 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $467.74 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $416.87 | $467.74 | $549.54 |
Where California sits
The same service costs 4.9 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· 44th of 51
$741
AK $2,884TX $589
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.