How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,230 to $19,953Professionalmedian $1,905 · 10th to 90th $1,380 to $11,749
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 $2,818.38 Median $9,120.11 Typical High $19,498.45 | Facility | None | $2,818.38 | $9,120.11 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,513.56 | $1,621.81 |
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 $1,621.81 Median $1,905.46 Typical High $3,890.45 | Professional | None | $1,621.81 | $1,905.46 | $3,890.45 |
Blue Shield Setting Facility Modifier None Typical Low $91.20 Median $2,041.74 Typical High $9,772.37 | Facility | None | $91.20 | $2,041.74 | $9,772.37 |
Blue Shield Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,737.80 | $2,454.71 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,862.09 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $13,182.57 Typical High $23,442.29 | Facility | None | $794.33 | $13,182.57 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,698.24 | $2,630.27 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,659.59 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,380.38 | $1,778.28 | $3,715.35 |
Lucent Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $12,882.50 | Professional | None | $11,748.98 | $11,748.98 | $12,882.50 |
Molina 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 |
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 $870.96 Median $12,302.69 Typical High $21,877.62 | Facility | None | $870.96 | $12,302.69 | $21,877.62 |
Providence Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,659.59 | $2,570.40 |
Sutter Health Plus Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $9,772.37 Typical High $29,512.09 | Facility | None | $4,265.80 | $9,772.37 | $29,512.09 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,621.81 | $2,630.27 |
10 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 $707.95 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $707.95 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $288.40 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,148.15 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,071.52 | $1,148.15 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,071.52 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,071.52 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,570.40 Typical High $4,265.80 | Professional | 50 · Both sides | $2,041.74 | $2,570.40 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $851.14 Median $1,096.48 Typical High $1,819.70 | Professional | 62 · Two surgeons | $851.14 | $1,096.48 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $275.42 Typical High $478.63 | Professional | 80 · Assistant surgeon | $218.78 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $239.88 Typical High $398.11 | Professional | AS · PA/NP assist | $190.55 | $239.88 | $398.11 |
Where California sits
The same service costs 17.0 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· 32nd of 51
$1,905
AK $6,607TX $389
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.