How much rates vary
Facilitymedian $3,020 · 10th to 90th $871 to $13,804Professionalmedian $1,622 · 10th to 90th $1,175 to $6,607
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 $1,288.25 Median $1,348.96 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,348.96 | $1,659.59 |
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 $1,202.26 Median $1,584.89 Typical High $3,981.07 | Professional | None | $1,202.26 | $1,584.89 | $3,981.07 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $8,317.64 Typical High $18,620.87 | Facility | None | $72.44 | $8,317.64 | $18,620.87 |
Blue Shield Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,621.81 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,691.53 | Facility | None | $758.58 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,698.24 | $2,454.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,548.82 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $3,235.94 | Professional | None | $1,047.13 | $1,621.81 | $3,235.94 |
Lucent Health Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $12,882.50 | Professional | None | $10,964.78 | $10,964.78 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,230.27 | $2,089.30 |
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 $812.83 Median $1,318.26 Typical High $2,691.53 | Facility | None | $812.83 | $1,318.26 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,621.81 | $2,398.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,011.87 | Professional | None | $4,073.80 | $4,073.80 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,495.41 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,495.41 | $17,378.01 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,412.54 | $2,511.89 |
10 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 $630.96 Median $676.08 Typical High $831.76 | Facility | 52 · Reduced service | $630.96 | $676.08 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $257.04 Median $269.15 Typical High $331.13 | Facility | 53 · Discontinued | $257.04 | $269.15 | $331.13 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $190.55 Median $204.17 Typical High $251.19 | Facility | 55 · Aftercare only | $190.55 | $204.17 | $251.19 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $128.82 Median $134.90 Typical High $165.96 | Facility | 56 · Pre-op care only | $128.82 | $134.90 | $165.96 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $954.99 Typical High $1,174.90 | Facility | 78 · Unplanned return to OR | $891.25 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $676.08 Typical High $794.33 | Professional | 52 · Reduced service | $602.56 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $316.23 | Professional | 53 · Discontinued | $239.88 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $204.17 Typical High $239.88 | Professional | 55 · Aftercare only | $181.97 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $134.90 Typical High $158.49 | Professional | 56 · Pre-op care only | $120.23 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $954.99 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $1,122.02 |
Where California sits
The same service costs 5.1 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
$1,622
AK $4,677TX $912
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.