How much rates vary
Facilitymedian $11,482 · 10th to 90th $1,047 to $25,704Professionalmedian $2,188 · 10th to 90th $1,660 to $15,849
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 $3,090.30 Median $9,332.54 Typical High $20,417.38 | Facility | None | $3,090.30 | $9,332.54 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,778.28 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $11,748.98 Typical High $21,379.62 | Facility | None | $6,025.60 | $11,748.98 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $5,370.32 | Professional | None | $2,089.30 | $2,187.76 | $5,370.32 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,905.46 | $2,630.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $16,218.10 Typical High $28,840.32 | Facility | None | $758.58 | $16,218.10 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,089.30 | $3,467.37 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,479.11 | $2,398.83 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $5,128.61 | Professional | None | $2,041.74 | $2,630.27 | $5,128.61 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $20,417.38 | Professional | None | $15,848.93 | $15,848.93 | $20,417.38 |
Molina Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $15,488.17 Typical High $26,915.35 | Facility | None | $831.76 | $15,488.17 | $26,915.35 |
Providence Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,778.28 | $2,089.30 | $3,467.37 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None | $7,244.36 | $7,244.36 | $7,244.36 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $10,232.93 Typical High $30,199.52 | Facility | None | $4,265.80 | $10,232.93 | $30,199.52 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,238.72 | $3,548.13 |
5 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 54 · Surgery only Typical Low $1,258.93 Median $1,348.96 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,258.93 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,258.93 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,258.93 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,513.56 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,230.27 | $1,513.56 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $389.05 Typical High $630.96 | Professional | 80 · Assistant surgeon | $309.03 | $389.05 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $338.84 Typical High $549.54 | Professional | AS · PA/NP assist | $269.15 | $338.84 | $549.54 |
Where California sits
The same service costs 8.1 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· 45th of 51
$2,188
AK $9,550TX $1,175
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.