How much rates vary
Facilitymedian $1,905 · 10th to 90th $550 to $10,715Professionalmedian $1,778 · 10th to 90th $1,259 to $12,303
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 $1,584.89 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,737.80 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $18,620.87 | Facility | None | $4,570.88 | $10,000.00 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $4,570.88 | Professional | None | $1,621.81 | $1,659.59 | $4,570.88 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,479.11 Typical High $6,456.54 | Facility | None | $100.00 | $1,479.11 | $6,456.54 |
Blue Shield Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,862.09 | Professional | None | $891.25 | $1,348.96 | $1,862.09 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $3,019.95 | Professional | None | $1,584.89 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $4,073.80 | Facility | None | $870.96 | $1,479.11 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,318.26 | $2,238.72 | $3,801.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,071.52 Median $2,691.53 Typical High $3,235.94 | Professional | None | $1,071.52 | $2,691.53 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $7,244.36 | Professional | None | $2,041.74 | $2,570.40 | $7,244.36 |
Lucent Health Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $16,595.87 | Professional | None | $12,302.69 | $12,302.69 | $16,595.87 |
Molina Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $7,585.78 | Facility | None | $1,000.00 | $1,778.28 | $7,585.78 |
Providence Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,318.26 | $2,238.72 | $3,548.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $4,677.35 | Facility | None | $398.11 | $1,230.27 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,801.89 | Professional | None | $1,288.25 | $1,778.28 | $3,801.89 |
2 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 $1,174.90 Median $1,288.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,174.90 | $1,288.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,288.25 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,047.13 | $1,288.25 | $2,089.30 |
Where California sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 45th of 51
$1,778
AK $7,244DE $1,514
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.