How much rates vary
Facilitymedian $3,548 · 10th to 90th $977 to $12,589Professionalmedian $977 · 10th to 90th $741 to $6,607
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 $724.44 Median $776.25 Typical High $831.76 | Professional | None | $724.44 | $776.25 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $11,220.18 Typical High $20,417.38 | Facility | None | $5,370.32 | $11,220.18 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $2,454.71 | Professional | None | $870.96 | $912.01 | $2,454.71 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,467.37 Typical High $8,128.31 | Facility | None | $100.00 | $3,467.37 | $8,128.31 |
Blue Shield Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,445.44 | Professional | None | $707.95 | $1,047.13 | $1,445.44 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,230.27 | Professional | None | $851.14 | $1,202.26 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,511.89 Typical High $5,011.87 | Facility | None | $645.65 | $2,511.89 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,548.82 | Professional | None | $831.76 | $933.25 | $1,548.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $562.34 Median $1,096.48 Typical High $1,380.38 | Professional | None | $562.34 | $1,096.48 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $2,238.72 | Professional | None | $891.25 | $1,122.02 | $2,238.72 |
Lucent Health Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,762.47 | Professional | None | $6,606.93 | $6,606.93 | $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 $758.58 Median $2,511.89 Typical High $5,888.44 | Facility | None | $758.58 | $2,511.89 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,513.56 | Professional | None | $831.76 | $933.25 | $1,513.56 |
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 $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 $676.08 Median $912.01 Typical High $1,513.56 | Professional | None | $676.08 | $912.01 | $1,513.56 |
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 $169.82 | Professional | 53 · Discontinued | $144.54 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $537.03 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $107.15 | $114.82 | $125.89 |
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 $501.19 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $501.19 | $537.03 | $588.84 |
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· 38th of 51
$1,023
AK $3,802TX $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.