How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,000 to $12,023Professionalmedian $1,000 · 10th to 90th $724 to $3,467
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 $758.58 Median $812.83 Typical High $870.96 | Professional | None | $758.58 | $812.83 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $2,398.83 | Professional | None | $933.25 | $1,000.00 | $2,398.83 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,884.03 Typical High $8,912.51 | Facility | None | $100.00 | $2,884.03 | $8,912.51 |
Blue Shield Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,258.93 | Professional | None | $616.60 | $891.25 | $1,258.93 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,318.26 | Professional | None | $870.96 | $1,047.13 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,466.84 Typical High $8,912.51 | Facility | None | $645.65 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,479.11 | Professional | None | $794.33 | $891.25 | $1,479.11 |
Contra Costa Health Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,288.25 | Professional | None | $707.95 | $954.99 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,995.26 | Professional | None | $812.83 | $977.24 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $758.58 Median $4,168.69 Typical High $9,120.11 | Facility | None | $758.58 | $4,168.69 | $9,120.11 |
Providence Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,412.54 | Professional | None | $794.33 | $870.96 | $1,412.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $676.08 Median $851.14 Typical High $1,479.11 | Professional | None | $676.08 | $851.14 | $1,479.11 |
7 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 $380.19 Median $407.38 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $162.18 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $81.28 Typical High $87.10 | Professional | 56 · Pre-op care only | $75.86 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $616.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,380.38 Typical High $2,344.23 | Professional | 50 · Both sides | $1,071.52 | $1,380.38 | $2,344.23 |
Where California sits
The same service costs 20.9 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· 34th of 51
$1,000
AK $3,467TX $166
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.