How much rates vary
Facilitymedian $1,000 · 10th to 90th $166 to $6,310Professionalmedian $275 · 10th to 90th $209 to $851
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 $478.63 Median $5,128.61 Typical High $15,135.61 | Facility | None | $478.63 | $5,128.61 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $478.63 | Professional | None | $223.87 | $257.04 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $2,137.96 | $4,786.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $707.95 | Professional | None | $263.03 | $275.42 | $707.95 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,412.54 Typical High $5,248.07 | Facility | None | $100.00 | $1,412.54 | $5,248.07 |
Blue Shield Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $346.74 | Professional | None | $169.82 | $251.19 | $346.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $436.52 | Professional | None | $275.42 | $380.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $288.40 Typical High $812.83 | Facility | None | $181.97 | $288.40 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $436.52 | Professional | None | $234.42 | $275.42 | $436.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $371.54 Typical High $436.52 | Professional | None | $229.09 | $371.54 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $758.58 | Professional | None | $288.40 | $371.54 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,041.74 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $398.11 | Professional | None | $239.88 | $239.88 | $398.11 |
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 $190.55 Median $363.08 Typical High $2,454.71 | Facility | None | $190.55 | $363.08 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | None | $234.42 | $275.42 | $426.58 |
Sutter Health Plus Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $891.25 | Professional | None | $851.14 | $851.14 | $891.25 |
United Setting Facility Modifier None Typical Low $123.03 Median $489.78 Typical High $3,090.30 | Facility | None | $123.03 | $489.78 | $3,090.30 |
United Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $467.74 | Professional | None | $199.53 | $245.47 | $467.74 |
13 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 Facility Modifier 52 · Reduced service Typical Low $107.15 Median $123.03 Typical High $134.90 | Facility | 52 · Reduced service | $107.15 | $123.03 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $53.70 | Facility | 53 · Discontinued | $42.66 | $48.98 | $53.70 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $204.17 | Facility | 54 · Surgery only | $162.18 | $181.97 | $204.17 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $32.36 Median $37.15 Typical High $40.74 | Facility | 55 · Aftercare only | $32.36 | $37.15 | $40.74 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $21.38 Median $24.55 Typical High $26.92 | Facility | 56 · Pre-op care only | $21.38 | $24.55 | $26.92 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $190.55 | Facility | 78 · Unplanned return to OR | $151.36 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $107.15 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $42.66 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $181.97 Typical High $204.17 | Professional | 54 · Surgery only | $162.18 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $37.15 Typical High $40.74 | Professional | 55 · Aftercare only | $32.36 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $151.36 | $169.82 | $190.55 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $426.58 Typical High $707.95 | Professional | 50 · Both sides | $338.84 | $426.58 | $707.95 |
Where California sits
The same service costs 5.9 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
$275
AK $1,096TX $186
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.