How much rates vary
Facilitymedian $2,754 · 10th to 90th $708 to $10,715Professionalmedian $933 · 10th to 90th $692 to $6,761
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 $724.44 Median $776.25 Typical High $851.14 | Professional | None | $724.44 | $776.25 | $851.14 |
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 $724.44 Median $954.99 Typical High $2,137.96 | Professional | None | $724.44 | $954.99 | $2,137.96 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,187.76 Typical High $6,918.31 | Facility | None | $100.00 | $2,187.76 | $6,918.31 |
Blue Shield Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,071.52 | Professional | None | $524.81 | $776.25 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $870.96 | $1,071.52 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,570.40 Typical High $4,168.69 | Facility | None | $758.58 | $2,570.40 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,412.54 | Professional | None | $741.31 | $870.96 | $1,412.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,288.25 | Professional | None | $812.83 | $1,023.29 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,995.26 | Professional | None | $812.83 | $1,000.00 | $1,995.26 |
Lucent Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,079.46 | Professional | None | $6,760.83 | $6,760.83 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $776.25 Median $2,570.40 Typical High $5,495.41 | Facility | None | $776.25 | $2,570.40 | $5,495.41 |
Providence Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,348.96 | Professional | None | $741.31 | $851.14 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,309.57 | Facility | None | $616.60 | $1,621.81 | $6,309.57 |
United Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,412.54 | Professional | None | $660.69 | $831.76 | $1,412.54 |
6 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 $363.08 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $154.88 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $154.88 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $575.44 Typical High $616.60 | Professional | 54 · Surgery only | $549.54 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $77.62 Typical High $83.18 | Professional | 56 · Pre-op care only | $72.44 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $575.44 |
Where California sits
The same service costs 7.1 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
$955
AK $3,548TX $501
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.