How much rates vary
Facilitymedian $1,995 · 10th to 90th $692 to $7,943Professionalmedian $891 · 10th to 90th $676 to $6,310
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 $660.69 Median $776.25 Typical High $1,513.56 | Professional | None | $660.69 | $776.25 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $2,137.96 | Professional | None | $724.44 | $912.01 | $2,137.96 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $1,445.44 Typical High $5,128.61 | Facility | None | $95.50 | $1,445.44 | $5,128.61 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $954.99 | Professional | None | $467.74 | $691.83 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,202.26 | Professional | None | $537.03 | $1,000.00 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,778.28 Typical High $3,715.35 | Facility | None | $758.58 | $1,778.28 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,380.38 | Professional | None | $707.95 | $891.25 | $1,380.38 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $1,096.48 Typical High $1,348.96 | Professional | None | $354.81 | $1,096.48 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,238.72 | Professional | None | $891.25 | $1,148.15 | $2,238.72 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,317.64 | Professional | None | $6,309.57 | $6,309.57 | $8,317.64 |
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 |
Optum Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $3,715.35 | Facility | None | $776.25 | $1,737.80 | $3,715.35 |
Providence Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,318.26 | Professional | None | $691.83 | $891.25 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,412.54 | Professional | None | $660.69 | $851.14 | $1,412.54 |
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 $338.84 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $363.08 | $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 $512.86 Median $549.54 Typical High $575.44 | Professional | 54 · Surgery only | $512.86 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $512.86 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $512.86 | $537.03 |
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
$912
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.