How much rates vary
Facilitymedian $4,266 · 10th to 90th $832 to $11,220Professionalmedian $871 · 10th to 90th $646 to $2,884
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 $912.01 Median $5,888.44 Typical High $15,848.93 | Facility | None | $912.01 | $5,888.44 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $933.25 | Professional | None | $660.69 | $776.25 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,995.26 | Professional | None | $645.65 | $870.96 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,884.03 Typical High $7,943.28 | Facility | None | $100.00 | $2,884.03 | $7,943.28 |
Blue Shield Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,258.93 | Professional | None | $645.65 | $933.25 | $1,258.93 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $489.78 Median $812.83 Typical High $1,174.90 | Professional | None | $489.78 | $812.83 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $4,466.84 Typical High $8,912.51 | Facility | None | $575.44 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,318.26 | Professional | None | $758.58 | $912.01 | $1,318.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $295.12 Median $794.33 Typical High $1,148.15 | Professional | None | $295.12 | $794.33 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,995.26 | Professional | None | $630.96 | $912.01 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,244.36 | Professional | None | $5,888.44 | $5,888.44 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,122.02 | Professional | None | $676.08 | $676.08 | $1,122.02 |
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 $630.96 Median $3,715.35 Typical High $8,317.64 | Facility | None | $630.96 | $3,715.35 | $8,317.64 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,318.26 | Professional | None | $741.31 | $912.01 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Professional | None | $2,290.87 | $2,290.87 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,380.38 | Professional | None | $562.34 | $776.25 | $1,380.38 |
12 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 Facility Modifier 52 · Reduced service Typical Low $346.74 Median $380.19 Typical High $457.09 | Facility | 52 · Reduced service | $346.74 | $380.19 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $181.97 | Facility | 53 · Discontinued | $141.25 | $151.36 | $181.97 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $691.83 | Facility | 54 · Surgery only | $524.81 | $562.34 | $691.83 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $114.82 Typical High $138.04 | Facility | 55 · Aftercare only | $104.71 | $114.82 | $138.04 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $91.20 | Facility | 56 · Pre-op care only | $69.18 | $75.86 | $91.20 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $645.65 | Facility | 78 · Unplanned return to OR | $489.78 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $380.19 Typical High $446.68 | Professional | 52 · Reduced service | $331.13 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $131.83 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $562.34 Typical High $660.69 | Professional | 54 · Surgery only | $489.78 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $114.82 Typical High $131.83 | Professional | 55 · Aftercare only | $97.72 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $66.07 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $524.81 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $457.09 | $524.81 | $616.60 |
Where California sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 34th of 51
$912
AK $3,236UT $562
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.