How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,023 to $14,454Professionalmedian $955 · 10th to 90th $661 to $2,951
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 $691.83 Median $724.44 Typical High $758.58 | Professional | None | $691.83 | $724.44 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $11,481.54 Typical High $21,379.62 | Facility | None | $5,370.32 | $11,481.54 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,905.46 | Professional | None | $776.25 | $954.99 | $1,905.46 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $2,041.74 Typical High $6,760.83 | Facility | None | $95.50 | $2,041.74 | $6,760.83 |
Blue Shield Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,230.27 | Professional | None | $616.60 | $912.01 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,288.25 | Professional | None | $645.65 | $776.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,495.41 Typical High $9,120.11 | Facility | None | $758.58 | $5,495.41 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,230.27 | Professional | None | $707.95 | $851.14 | $1,230.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $954.99 | Professional | None | $691.83 | $776.25 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,621.81 | Professional | None | $630.96 | $776.25 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $5,128.61 Typical High $8,709.64 | Facility | None | $758.58 | $5,128.61 | $8,709.64 |
Providence Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,174.90 | Professional | None | $676.08 | $851.14 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $18,620.87 | Facility | None | $2,884.03 | $6,760.83 | $18,620.87 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,174.90 | Professional | None | $562.34 | $741.31 | $1,174.90 |
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 $346.74 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $549.54 Typical High $575.44 | Professional | 54 · Surgery only | $512.86 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $114.82 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $512.86 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $512.86 | $537.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,122.02 Typical High $1,949.84 | Professional | 50 · Both sides | $912.01 | $1,122.02 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $120.23 Typical High $204.17 | Professional | 80 · Assistant surgeon | $97.72 | $120.23 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $104.71 Typical High $181.97 | Professional | AS · PA/NP assist | $87.10 | $104.71 | $181.97 |
Where California sits
The same service costs 7.2 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
$955
AK $2,884TX $398
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.