How much rates vary
Facilitymedian $6,761 · 10th to 90th $631 to $151,356Professionalmedian $1,288 · 10th to 90th $955 to $8,710
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 $1,071.52 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,071.52 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,202.26 | Professional | None | $977.24 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $12,302.69 Typical High $25,118.86 | Facility | None | $6,918.31 | $12,302.69 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $4,466.84 | Professional | None | $1,230.27 | $1,348.96 | $4,466.84 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $2,570.40 | Professional | None | $707.95 | $1,000.00 | $2,570.40 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,479.11 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,230.27 | $3,162.28 |
Contra Costa Health Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,584.89 | Professional | None | $912.01 | $1,318.26 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,479.11 | $2,754.23 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $10,232.93 | Professional | None | $8,709.64 | $8,709.64 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $3,235.94 | Professional | None | $1,071.52 | $1,230.27 | $3,235.94 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,258.93 Typical High $3,548.13 | Professional | None | $933.25 | $1,258.93 | $3,548.13 |
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 54 · Surgery only Typical Low $724.44 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $724.44 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $676.08 | $724.44 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,548.82 Typical High $4,365.16 | Professional | 50 · Both sides | $1,202.26 | $1,548.82 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $501.19 Median $660.69 Typical High $1,819.70 | Professional | 62 · Two surgeons | $501.19 | $660.69 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $165.96 Typical High $467.74 | Professional | 80 · Assistant surgeon | $125.89 | $165.96 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $144.54 Typical High $407.38 | Professional | AS · PA/NP assist | $112.20 | $144.54 | $407.38 |
Where California sits
The same service costs 6.8 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
$1,413
AK $5,012TX $741
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.