How much rates vary
Facilitymedian $3,388 · 10th to 90th $912 to $12,303Professionalmedian $759 · 10th to 90th $550 to $5,248
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $645.65 | Professional | None | $575.44 | $602.56 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,621.81 | Professional | None | $562.34 | $758.58 | $1,621.81 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $2,041.74 Typical High $5,495.41 | Facility | None | $91.20 | $2,041.74 | $5,495.41 |
Blue Shield Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $954.99 | Professional | None | $467.74 | $691.83 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,000.00 | Professional | None | $660.69 | $794.33 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,511.89 Typical High $5,128.61 | Facility | None | $758.58 | $2,511.89 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,071.52 | Professional | None | $616.60 | $691.83 | $1,071.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $954.99 | Professional | None | $524.81 | $707.95 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,548.82 | Professional | None | $616.60 | $758.58 | $1,548.82 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,370.32 | Professional | None | $5,248.07 | $5,248.07 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $741.31 Median $2,454.71 Typical High $5,011.87 | Facility | None | $741.31 | $2,454.71 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,047.13 | Professional | None | $616.60 | $676.08 | $1,047.13 |
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 $2,884.03 Median $6,606.93 Typical High $18,620.87 | Facility | None | $2,884.03 | $6,606.93 | $18,620.87 |
United Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $1,096.48 | Professional | None | $524.81 | $645.65 | $1,096.48 |
7 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 $288.40 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $114.82 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $457.09 Typical High $489.78 | Professional | 54 · Surgery only | $426.58 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $97.72 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $426.58 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $398.11 | $426.58 | $457.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $1,000.00 Typical High $1,737.80 | Professional | 50 · Both sides | $794.33 | $1,000.00 | $1,737.80 |
Where California sits
The same service costs 16.6 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· 34th of 51
$759
AK $2,754TX $166
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.