How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,096 to $15,488Professionalmedian $1,023 · 10th to 90th $759 to $3,715
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 $2,570.40 Median $8,912.51 Typical High $19,498.45 | Facility | None | $2,570.40 | $8,912.51 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $870.96 | Professional | None | $776.25 | $831.76 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $12,022.64 Typical High $25,118.86 | Facility | None | $5,888.44 | $12,022.64 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $2,454.71 | Professional | None | $977.24 | $1,023.29 | $2,454.71 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,089.30 Typical High $10,964.78 | Facility | None | $100.00 | $2,089.30 | $10,964.78 |
Blue Shield Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,380.38 | Professional | None | $660.69 | $977.24 | $1,380.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,348.96 | Professional | None | $891.25 | $1,071.52 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $12,882.50 | Facility | None | $851.14 | $7,585.78 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,445.44 | Professional | None | $851.14 | $933.25 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,288.25 | Professional | None | $707.95 | $954.99 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $2,089.30 | Professional | None | $812.83 | $1,023.29 | $2,089.30 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $870.96 Median $6,918.31 Typical High $12,022.64 | Facility | None | $870.96 | $6,918.31 | $12,022.64 |
Providence Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,412.54 | Professional | None | $851.14 | $912.01 | $1,412.54 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,479.11 | Professional | None | $707.95 | $891.25 | $1,479.11 |
10 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 $389.05 Median $407.38 Typical High $436.52 | Professional | 52 · Reduced service | $389.05 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $177.83 | Professional | 53 · Discontinued | $154.88 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $117.49 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $616.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,412.54 Typical High $2,344.23 | Professional | 50 · Both sides | $1,096.48 | $1,412.54 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $467.74 Median $588.84 Typical High $977.24 | Professional | 62 · Two surgeons | $467.74 | $588.84 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $151.36 Typical High $257.04 | Professional | 80 · Assistant surgeon | $117.49 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $131.83 Typical High $218.78 | Professional | AS · PA/NP assist | $102.33 | $131.83 | $218.78 |
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· 35th of 51
$1,023
AK $3,715TX $468
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.