How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $13,183Professionalmedian $1,122 · 10th to 90th $851 to $7,244
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 $7,585.78 Typical High $18,197.01 | Facility | None | $2,238.72 | $7,585.78 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $954.99 | Professional | None | $831.76 | $870.96 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,071.52 | $2,570.40 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,162.28 Typical High $10,471.29 | Facility | None | $100.00 | $3,162.28 | $10,471.29 |
Blue Shield Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,819.70 | Professional | None | $891.25 | $1,318.26 | $1,819.70 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,445.44 | Professional | None | $933.25 | $1,122.02 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,570.40 Typical High $5,128.61 | Facility | None | $758.58 | $2,570.40 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,737.80 | Professional | None | $891.25 | $1,122.02 | $1,737.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,380.38 | Professional | None | $758.58 | $1,023.29 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $2,187.76 | Professional | None | $831.76 | $1,071.52 | $2,187.76 |
Lucent Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,585.78 | Professional | None | $7,244.36 | $7,244.36 | $7,585.78 |
Molina Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $812.83 Median $2,570.40 Typical High $6,606.93 | Facility | None | $812.83 | $2,570.40 | $6,606.93 |
Providence Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,621.81 | Professional | None | $891.25 | $1,096.48 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,495.41 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,495.41 | $17,378.01 |
United Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,548.82 | Professional | None | $741.31 | $977.24 | $1,548.82 |
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 $407.38 Median $436.52 Typical High $478.63 | Professional | 52 · Reduced service | $407.38 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $165.96 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $645.65 Typical High $707.95 | Professional | 54 · Surgery only | $616.60 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $141.25 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $87.10 Typical High $95.50 | Professional | 56 · Pre-op care only | $83.18 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $602.56 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $575.44 | $602.56 | $660.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,174.90 Median $1,479.11 Typical High $2,511.89 | Professional | 50 · Both sides | $1,174.90 | $1,479.11 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $630.96 Typical High $1,047.13 | Professional | 62 · Two surgeons | $489.78 | $630.96 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $158.49 Typical High $269.15 | Professional | 80 · Assistant surgeon | $125.89 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $138.04 Typical High $234.42 | Professional | AS · PA/NP assist | $109.65 | $138.04 | $234.42 |
Where California sits
The same service costs 16.2 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· 31st of 51
$1,230
AK $3,890TX $240
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.