How much rates vary
Facilitymedian $4,571 · 10th to 90th $692 to $12,882Professionalmedian $1,380 · 10th to 90th $1,000 to $4,677
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 $1,047.13 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,122.02 | $1,174.90 |
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 $1,318.26 Median $1,412.54 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,412.54 | $3,162.28 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $2,570.40 Typical High $10,715.19 | Facility | None | $91.20 | $2,570.40 | $10,715.19 |
Blue Shield Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,584.89 | Professional | None | $776.25 | $1,148.15 | $1,584.89 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,148.15 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,456.54 Typical High $11,481.54 | Facility | None | $758.58 | $6,456.54 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,288.25 | $1,995.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,698.24 | Professional | None | $891.25 | $1,258.93 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,047.13 | $1,348.96 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | None | $9,772.37 | $9,772.37 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $6,309.57 Typical High $10,964.78 | Facility | None | $831.76 | $6,309.57 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,230.27 | $1,905.46 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $616.60 Median $1,621.81 Typical High $6,456.54 | Facility | None | $616.60 | $1,621.81 | $6,456.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,995.26 | Professional | None | $977.24 | $1,202.26 | $1,995.26 |
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 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $891.25 | Professional | 54 · Surgery only | $794.33 | $831.76 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $831.76 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,949.84 Typical High $3,388.44 | Professional | 50 · Both sides | $1,548.82 | $1,949.84 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $812.83 Typical High $1,412.54 | Professional | 62 · Two surgeons | $645.65 | $812.83 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $208.93 Typical High $363.08 | Professional | 80 · Assistant surgeon | $162.18 | $208.93 | $363.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $181.97 Typical High $316.23 | Professional | AS · PA/NP assist | $144.54 | $181.97 | $316.23 |
Where California sits
The same service costs 5.9 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.
Physician feeFacility fee
AK $12,256TX $2,071
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.