How much rates vary
Facilitymedian $4,571 · 10th to 90th $955 to $12,882Professionalmedian $617 · 10th to 90th $437 to $2,188
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 $478.63 Median $524.81 Typical High $562.34 | Professional | None | $478.63 | $524.81 | $562.34 |
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 $575.44 Median $645.65 Typical High $1,348.96 | Professional | None | $575.44 | $645.65 | $1,348.96 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,951.21 Typical High $10,715.19 | Facility | None | $100.00 | $2,951.21 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $776.25 | Professional | None | $380.19 | $562.34 | $776.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $691.83 | Professional | None | $478.63 | $588.84 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $4,466.84 Typical High $8,912.51 | Facility | None | $851.14 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $870.96 | Professional | None | $512.86 | $588.84 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $691.83 | Professional | None | $371.54 | $537.03 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $1,122.02 | Professional | None | $457.09 | $562.34 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
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 $4,265.80 Typical High $10,000.00 | Facility | None | $758.58 | $4,265.80 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $851.14 | Professional | None | $512.86 | $588.84 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $11,220.18 | Facility | None | $1,258.93 | $3,090.30 | $11,220.18 |
United Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $870.96 | Professional | None | $398.11 | $512.86 | $870.96 |
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 $234.42 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $93.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 54 · Surgery only | $346.74 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $56.23 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $398.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $288.40 Median $363.08 Typical High $549.54 | Professional | 62 · Two surgeons | $288.40 | $363.08 | $549.54 |
Where California sits
The same service costs 18.2 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
$631
AK $1,995TX $110
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.