How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,047 to $14,125Professionalmedian $2,399 · 10th to 90th $1,778 to $9,550
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 $1,905.46 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,905.46 | $2,041.74 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,041.74 | $2,398.83 |
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 $1,778.28 Median $2,398.83 Typical High $5,754.40 | Professional | None | $1,778.28 | $2,398.83 | $5,754.40 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $9,549.93 Typical High $18,620.87 | Facility | None | $72.44 | $9,549.93 | $18,620.87 |
Blue Shield Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,511.89 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $3,235.94 | Facility | None | $758.58 | $1,584.89 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,511.89 | $3,630.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,698.24 | $2,290.87 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,548.82 | $2,344.23 | $4,677.35 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $18,620.87 | Professional | None | $15,848.93 | $15,848.93 | $18,620.87 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,819.70 | $1,819.70 | $3,019.95 |
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 $851.14 Median $1,819.70 Typical High $3,548.13 | Facility | None | $851.14 | $1,819.70 | $3,548.13 |
Providence Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $3,548.13 | Professional | None | $1,995.26 | $2,398.83 | $3,548.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,413.10 | Professional | None | $6,025.60 | $6,025.60 | $7,413.10 |
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 $1,513.56 Median $2,089.30 Typical High $3,630.78 | Professional | None | $1,513.56 | $2,089.30 | $3,630.78 |
11 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 $954.99 Median $1,023.29 Typical High $1,230.27 | Facility | 52 · Reduced service | $954.99 | $1,023.29 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $389.05 Median $407.38 Typical High $489.78 | Facility | 53 · Discontinued | $389.05 | $407.38 | $489.78 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $288.40 Median $309.03 Typical High $363.08 | Facility | 55 · Aftercare only | $288.40 | $309.03 | $363.08 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $190.55 Median $204.17 Typical High $245.47 | Facility | 56 · Pre-op care only | $190.55 | $204.17 | $245.47 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,445.44 Typical High $1,698.24 | Facility | 78 · Unplanned return to OR | $1,348.96 | $1,445.44 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,023.29 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | 53 · Discontinued | $363.08 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $309.03 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,445.44 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,445.44 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,388.44 Typical High $5,370.32 | Professional | 50 · Both sides | $2,754.23 | $3,388.44 | $5,370.32 |
Where California sits
The same service costs 5.5 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· 32nd of 51
$2,455
AK $6,918TX $1,259
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.