How much rates vary
Facilitymedian $2,512 · 10th to 90th $575 to $6,761Professionalmedian $741 · 10th to 90th $537 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 $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $645.65 | Professional | None | $537.03 | $575.44 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,137.96 | $5,128.61 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,737.80 | Professional | None | $616.60 | $707.95 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,290.87 Typical High $5,495.41 | Facility | None | $100.00 | $2,290.87 | $5,495.41 |
Blue Shield Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,071.52 | Professional | None | $524.81 | $758.58 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $954.99 | Professional | None | $501.19 | $776.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $2,398.83 Typical High $4,073.80 | Facility | None | $426.58 | $2,398.83 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,148.15 | Professional | None | $575.44 | $707.95 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $851.14 Typical High $1,071.52 | Professional | None | $338.84 | $851.14 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,698.24 | Professional | None | $676.08 | $851.14 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,888.44 | Professional | None | $4,897.79 | $4,897.79 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
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 $489.78 Median $2,290.87 Typical High $4,466.84 | Facility | None | $489.78 | $2,290.87 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,096.48 | Professional | None | $575.44 | $707.95 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $501.19 Median $660.69 Typical High $1,122.02 | Professional | None | $501.19 | $660.69 | $1,122.02 |
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 $269.15 Median $288.40 Typical High $323.59 | Professional | 52 · Reduced service | $269.15 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $436.52 Typical High $478.63 | Professional | 54 · Surgery only | $407.38 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $87.10 Typical High $95.50 | Professional | 55 · Aftercare only | $81.28 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 56 · Pre-op care only | $53.70 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $407.38 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $380.19 | $407.38 | $446.68 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $104.71 Typical High $223.87 | Professional | 80 · Assistant surgeon | $81.28 | $104.71 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $91.20 Typical High $165.96 | Professional | AS · PA/NP assist | $70.79 | $91.20 | $165.96 |
Where California sits
The same service costs 7.8 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· 33rd of 51
$759
AK $2,754TX $355
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.