How much rates vary
Facilitymedian $1,738 · 10th to 90th $692 to $7,413Professionalmedian $871 · 10th to 90th $646 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 $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 $660.69 Median $691.83 Typical High $741.31 | Professional | None | $660.69 | $691.83 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,309.57 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,309.57 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $1,905.46 | Professional | None | $794.33 | $891.25 | $1,905.46 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $1,479.11 Typical High $5,495.41 | Facility | None | $91.20 | $1,479.11 | $5,495.41 |
Blue Shield Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,122.02 | Professional | None | $549.54 | $812.83 | $1,122.02 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $870.96 | Professional | None | $602.56 | $851.14 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $2,884.03 | Facility | None | $776.25 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,174.90 | Professional | None | $707.95 | $776.25 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $977.24 | Professional | None | $398.11 | $776.25 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,698.24 | Professional | None | $660.69 | $831.76 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,025.60 | Professional | None | $5,248.07 | $5,248.07 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $794.33 Median $1,412.54 Typical High $2,884.03 | Facility | None | $794.33 | $1,412.54 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,148.15 | Professional | None | $707.95 | $776.25 | $1,148.15 |
Sutter Health Plus Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $588.84 Median $741.31 Typical High $1,202.26 | Professional | None | $588.84 | $741.31 | $1,202.26 |
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 $331.13 Median $346.74 Typical High $371.54 | Professional | 52 · Reduced service | $331.13 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | 53 · Discontinued | $131.83 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $74.13 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $457.09 | $489.78 | $512.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $933.25 Median $1,174.90 Typical High $1,905.46 | Professional | 50 · Both sides | $933.25 | $1,174.90 | $1,905.46 |
Where California sits
The same service costs 4.3 times more in Alaska than in Alabama. 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.
Physician feeFacility fee
AK $6,582AL $1,537
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.