How much rates vary
Facilitymedian $1,148 · 10th to 90th $724 to $6,026Professionalmedian $589 · 10th to 90th $468 to $4,677
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $630.96 | Professional | None | $501.19 | $524.81 | $630.96 |
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 $467.74 Median $501.19 Typical High $2,454.71 | Professional | None | $467.74 | $501.19 | $2,454.71 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,548.82 Typical High $5,128.61 | Facility | None | $100.00 | $1,548.82 | $5,128.61 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $794.33 | Professional | None | $380.19 | $537.03 | $794.33 |
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 $524.81 Median $602.56 Typical High $1,071.52 | Professional | None | $524.81 | $602.56 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $851.14 | Professional | None | $707.95 | $776.25 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,905.46 | Professional | None | $575.44 | $707.95 | $1,905.46 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,128.61 | Professional | None | $4,677.35 | $4,677.35 | $5,128.61 |
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 $1,905.46 Typical High $3,801.89 | Facility | None | $707.95 | $1,905.46 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,071.52 | Professional | None | $524.81 | $588.84 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $2,344.23 | Facility | None | $724.44 | $741.31 | $2,344.23 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,230.27 | Professional | None | $478.63 | $630.96 | $1,230.27 |
6 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 $234.42 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $398.11 Typical High $416.87 | Professional | 54 · Surgery only | $346.74 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $79.43 Typical High $83.18 | Professional | 55 · Aftercare only | $70.79 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $371.54 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $323.59 | $371.54 | $389.05 |
Where California sits
The same service costs 7.2 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· 30th of 51
$741
AK $2,630TX $363
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.