How much rates vary
Facilitymedian $3,631 · 10th to 90th $741 to $10,000Professionalmedian $617 · 10th to 90th $468 to $4,266
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 $1,905.46 Median $6,165.95 Typical High $15,848.93 | Facility | None | $1,905.46 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $537.03 | Professional | None | $467.74 | $501.19 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $1,479.11 | Professional | None | $537.03 | $616.60 | $1,479.11 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,089.30 Typical High $6,918.31 | Facility | None | $100.00 | $2,089.30 | $6,918.31 |
Blue Shield Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $794.33 | Professional | None | $389.05 | $575.44 | $794.33 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $707.95 | Professional | None | $416.87 | $602.56 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $3,388.44 Typical High $6,456.54 | Facility | None | $575.44 | $3,388.44 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $912.01 | Professional | None | $501.19 | $588.84 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $281.84 Median $645.65 Typical High $794.33 | Professional | None | $281.84 | $645.65 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,318.26 | Professional | None | $549.54 | $660.69 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Professional | None | $4,265.80 | $4,265.80 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $602.56 Median $3,235.94 Typical High $6,456.54 | Facility | None | $602.56 | $3,235.94 | $6,456.54 |
Providence Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $912.01 | Professional | None | $501.19 | $562.34 | $912.01 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,365.16 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,365.16 | $14,454.40 |
United Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $933.25 | Professional | None | $436.52 | $549.54 | $933.25 |
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 $251.19 Typical High $269.15 | Professional | 52 · Reduced service | $234.42 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $100.00 Typical High $107.15 | Professional | 53 · Discontinued | $93.33 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $371.54 Typical High $398.11 | Professional | 54 · Surgery only | $354.81 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $75.86 Typical High $81.28 | Professional | 55 · Aftercare only | $70.79 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $53.70 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $346.74 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $331.13 | $346.74 | $371.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $851.14 Typical High $1,445.44 | Professional | 50 · Both sides | $676.08 | $851.14 | $1,445.44 |
Where California sits
The same service costs 7.9 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· 39th of 51
$617
AK $2,344TX $295
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.