How much rates vary
Facilitymedian $3,020 · 10th to 90th $776 to $10,000Professionalmedian $692 · 10th to 90th $525 to $4,677
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 $524.81 Median $562.34 Typical High $602.56 | Professional | None | $524.81 | $562.34 | $602.56 |
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 $676.08 Median $691.83 Typical High $1,659.59 | Professional | None | $676.08 | $691.83 | $1,659.59 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,089.30 Typical High $7,413.10 | Facility | None | $100.00 | $2,089.30 | $7,413.10 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $954.99 | Professional | None | $467.74 | $691.83 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $912.01 | Professional | None | $630.96 | $794.33 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,454.71 Typical High $5,011.87 | Facility | None | $575.44 | $2,454.71 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,023.29 | Professional | None | $537.03 | $645.65 | $1,023.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $912.01 | Professional | None | $478.63 | $707.95 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,479.11 | Professional | None | $602.56 | $741.31 | $1,479.11 |
Lucent Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,248.07 | Professional | None | $4,677.35 | $4,677.35 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $2,344.23 Typical High $5,495.41 | Facility | None | $602.56 | $2,344.23 | $5,495.41 |
Providence Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $977.24 | Professional | None | $537.03 | $645.65 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $489.78 Median $616.60 Typical High $1,047.13 | Professional | None | $489.78 | $616.60 | $1,047.13 |
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 $263.03 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $263.03 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $104.71 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $416.87 Typical High $446.68 | Professional | 54 · Surgery only | $398.11 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $79.43 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $389.05 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $371.54 | $389.05 | $416.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $954.99 Typical High $1,548.82 | Professional | 50 · Both sides | $741.31 | $954.99 | $1,548.82 |
Where California sits
The same service costs 18.6 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· 35th of 51
$724
AK $2,630TX $141
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.