How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,023 to $13,804Professionalmedian $851 · 10th to 90th $631 to $3,162
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $741.31 | Professional | None | $660.69 | $691.83 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $11,481.54 Typical High $20,417.38 | Facility | None | $5,888.44 | $11,481.54 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,862.09 | Professional | None | $812.83 | $870.96 | $1,862.09 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,754.23 Typical High $6,606.93 | Facility | None | $100.00 | $2,754.23 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,148.15 | Professional | None | $562.34 | $812.83 | $1,148.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $954.99 | Professional | None | $676.08 | $933.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $9,120.11 | Facility | None | $794.33 | $4,466.84 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,288.25 | Professional | None | $676.08 | $776.25 | $1,288.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,023.29 | Professional | None | $501.19 | $831.76 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,778.28 | Professional | None | $676.08 | $870.96 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $794.33 Median $4,168.69 Typical High $8,511.38 | Facility | None | $794.33 | $4,168.69 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,230.27 | Professional | None | $676.08 | $776.25 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $602.56 Median $741.31 Typical High $1,318.26 | Professional | None | $602.56 | $741.31 | $1,318.26 |
9 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 $323.59 Median $346.74 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | 53 · Discontinued | $131.83 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $562.34 | Professional | 54 · Surgery only | $489.78 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $112.20 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $74.13 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,230.27 Typical High $1,905.46 | Professional | 50 · Both sides | $1,000.00 | $1,230.27 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $128.82 Typical High $204.17 | Professional | 80 · Assistant surgeon | $104.71 | $128.82 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $114.82 Typical High $177.83 | Professional | AS · PA/NP assist | $93.33 | $114.82 | $177.83 |
Where California sits
The same service costs 16.6 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· 33rd of 51
$871
AK $3,090TX $186
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.