How much rates vary
Facilitymedian $1,950 · 10th to 90th $631 to $9,120Professionalmedian $646 · 10th to 90th $457 to $4,898
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 $512.86 Median $549.54 Typical High $588.84 | Professional | None | $512.86 | $549.54 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $1,548.82 | Professional | None | $575.44 | $660.69 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,905.46 Typical High $6,309.57 | Facility | None | $100.00 | $1,905.46 | $6,309.57 |
Blue Shield Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $691.83 | Professional | None | $331.13 | $489.78 | $691.83 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $794.33 | Professional | None | $575.44 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $2,754.23 | Facility | None | $575.44 | $1,380.38 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,023.29 | Professional | None | $457.09 | $630.96 | $1,023.29 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $891.25 | Professional | None | $426.58 | $707.95 | $891.25 |
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 $4,897.79 Median $4,897.79 Typical High $5,248.07 | Professional | None | $4,897.79 | $4,897.79 | $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 $575.44 Median $1,412.54 Typical High $3,801.89 | Facility | None | $575.44 | $1,412.54 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $977.24 | Professional | None | $436.52 | $630.96 | $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 $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 $457.09 Median $602.56 Typical High $1,047.13 | Professional | None | $457.09 | $602.56 | $1,047.13 |
8 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 $257.04 Median $275.42 Typical High $288.40 | Professional | 52 · Reduced service | $257.04 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $102.33 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $407.38 Typical High $436.52 | Professional | 54 · Surgery only | $389.05 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $81.28 Typical High $87.10 | Professional | 55 · Aftercare only | $77.62 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | 56 · Pre-op care only | $51.29 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $380.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $363.08 | $380.19 | $407.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $100.00 Typical High $165.96 | Professional | 80 · Assistant surgeon | $79.43 | $100.00 | $165.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $89.13 Typical High $144.54 | Professional | AS · PA/NP assist | $69.18 | $89.13 | $144.54 |
Where California sits
The same service costs 7.4 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· 37th of 51
$661
AK $2,570TX $347
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.