How much rates vary
Facilitymedian $2,399 · 10th to 90th $851 to $10,233Professionalmedian $891 · 10th to 90th $676 to $6,607
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 $691.83 Median $741.31 Typical High $891.25 | Professional | None | $691.83 | $741.31 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $3,467.37 | Professional | None | $676.08 | $776.25 | $3,467.37 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,698.24 Typical High $7,762.47 | Facility | None | $100.00 | $1,698.24 | $7,762.47 |
Blue Shield Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,174.90 | Professional | None | $562.34 | $812.83 | $1,174.90 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,202.26 | Professional | None | $831.76 | $1,096.48 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,778.28 Typical High $3,467.37 | Facility | None | $645.65 | $1,778.28 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,548.82 | Professional | None | $776.25 | $912.01 | $1,548.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $1,174.90 | Professional | None | $630.96 | $977.24 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $2,630.27 | Professional | None | $794.33 | $977.24 | $2,630.27 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,244.36 | Professional | None | $6,606.93 | $6,606.93 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $1,819.70 Typical High $4,265.80 | Facility | None | $707.95 | $1,819.70 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,479.11 | Professional | None | $776.25 | $912.01 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,737.80 | Professional | None | $691.83 | $891.25 | $1,737.80 |
9 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 $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $588.84 | Professional | 54 · Surgery only | $524.81 | $562.34 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $117.49 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $549.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $616.60 Typical High $933.25 | Professional | 62 · Two surgeons | $478.63 | $616.60 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | 80 · Assistant surgeon | $120.23 | $154.88 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $138.04 Typical High $208.93 | Professional | AS · PA/NP assist | $104.71 | $138.04 | $208.93 |
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· 33rd of 51
$1,023
AK $3,715TX $490
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.