How much rates vary
Facilitymedian $3,090 · 10th to 90th $871 to $14,125Professionalmedian $1,778 · 10th to 90th $1,288 to $7,079
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 $1,412.54 Median $1,479.11 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,479.11 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,479.11 | $1,778.28 |
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 $1,318.26 Median $1,778.28 Typical High $4,265.80 | Professional | None | $1,318.26 | $1,778.28 | $4,265.80 |
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 $1,258.93 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,819.70 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $2,691.53 | Facility | None | $758.58 | $1,202.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,819.70 | $2,691.53 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,659.59 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,148.15 | $1,737.80 | $3,467.37 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $13,803.84 | Professional | None | $11,748.98 | $11,748.98 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,348.96 | $2,238.72 |
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 $1,380.38 Typical High $2,691.53 | Facility | None | $812.83 | $1,380.38 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,778.28 | $2,630.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,495.41 | Professional | None | $4,466.84 | $4,466.84 | $5,495.41 |
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 $1,096.48 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,548.82 | $2,691.53 |
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 $707.95 Median $741.31 Typical High $891.25 | Facility | 52 · Reduced service | $707.95 | $741.31 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $354.81 | Facility | 53 · Discontinued | $281.84 | $302.00 | $354.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $208.93 Median $223.87 Typical High $269.15 | Facility | 55 · Aftercare only | $208.93 | $223.87 | $269.15 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $141.25 Median $147.91 Typical High $177.83 | Facility | 56 · Pre-op care only | $141.25 | $147.91 | $177.83 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,047.13 Typical High $1,258.93 | Facility | 78 · Unplanned return to OR | $977.24 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $741.31 Typical High $870.96 | Professional | 52 · Reduced service | $660.69 | $741.31 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $354.81 | Professional | 53 · Discontinued | $263.03 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $147.91 Typical High $177.83 | Professional | 56 · Pre-op care only | $131.83 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,230.27 |
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· 35th of 51
$1,778
AK $5,129TX $933
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.