How much rates vary
Facilitymedian $4,898 · 10th to 90th $933 to $12,023Professionalmedian $955 · 10th to 90th $724 to $6,310
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $794.33 | Professional | None | $691.83 | $741.31 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $2,089.30 | Professional | None | $831.76 | $933.25 | $2,089.30 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $100.00 | $3,162.28 | $8,317.64 |
Blue Shield Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,513.56 | Professional | None | $741.31 | $1,096.48 | $1,513.56 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $954.99 | Professional | None | $676.08 | $933.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $5,370.32 Typical High $9,120.11 | Facility | None | $645.65 | $5,370.32 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,445.44 | Professional | None | $758.58 | $933.25 | $1,445.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $501.19 Median $831.76 Typical High $1,047.13 | Professional | None | $501.19 | $831.76 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,778.28 | Professional | None | $691.83 | $870.96 | $1,778.28 |
Lucent Health Setting Professional Modifier None Typical Low $6,309.57 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,309.57 | $6,760.83 | $6,760.83 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $707.95 Median $4,897.79 Typical High $8,912.51 | Facility | None | $707.95 | $4,897.79 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,380.38 | Professional | None | $724.44 | $912.01 | $1,380.38 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $602.56 Median $812.83 Typical High $1,258.93 | Professional | None | $602.56 | $812.83 | $1,258.93 |
9 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 $346.74 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $346.74 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $138.04 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $549.54 Typical High $588.84 | Professional | 54 · Surgery only | $524.81 | $549.54 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $512.86 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $489.78 | $512.86 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,202.26 Typical High $2,041.74 | Professional | 50 · Both sides | $933.25 | $1,202.26 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $125.89 Typical High $218.78 | Professional | 80 · Assistant surgeon | $97.72 | $125.89 | $218.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $112.20 Typical High $190.55 | Professional | AS · PA/NP assist | $87.10 | $112.20 | $190.55 |
Where California sits
The same service costs 7.6 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· 32nd of 51
$1,023
AK $3,162TX $417
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.