How much rates vary
Facilitymedian $5,623 · 10th to 90th $955 to $14,791Professionalmedian $2,399 · 10th to 90th $1,660 to $16,596
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 $2,818.38 Median $9,120.11 Typical High $19,952.62 | Facility | None | $2,818.38 | $9,120.11 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,862.09 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $12,882.50 | Facility | None | $2,344.23 | $3,090.30 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $5,248.07 | Professional | None | $1,737.80 | $2,398.83 | $5,248.07 |
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 $1,174.90 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,737.80 | $2,398.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,659.59 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,495.41 Typical High $9,120.11 | Facility | None | $794.33 | $5,495.41 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,737.80 | $2,041.74 | $3,388.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,122.02 | $2,344.23 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $5,128.61 | Professional | None | $2,041.74 | $2,570.40 | $5,128.61 |
Lucent Health Setting Professional Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $19,952.62 | Professional | None | $16,595.87 | $16,595.87 | $19,952.62 |
Molina Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $5,248.07 Typical High $8,912.51 | Facility | None | $851.14 | $5,248.07 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,737.80 | $2,041.74 | $3,388.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $19,054.61 | Facility | None | $2,884.03 | $6,760.83 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,698.24 | $2,187.76 | $3,467.37 |
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 $1,318.26 Median $1,380.38 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,318.26 | $1,380.38 | $1,479.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,288.25 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,288.25 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $1,348.96 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,071.52 | $1,348.96 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $338.84 Typical High $616.60 | Professional | 80 · Assistant surgeon | $269.15 | $338.84 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $302.00 Typical High $549.54 | Professional | AS · PA/NP assist | $234.42 | $302.00 | $549.54 |
Where California sits
The same service costs 9.1 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· 36th of 51
$2,399
AK $9,333TX $1,023
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.