How much rates vary
Facilitymedian $2,884 · 10th to 90th $851 to $10,233Professionalmedian $776 · 10th to 90th $589 to $5,370
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $724.44 | Professional | None | $660.69 | $691.83 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,128.31 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,737.80 | Professional | None | $660.69 | $776.25 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,949.84 Typical High $7,585.78 | Facility | None | $100.00 | $1,949.84 | $7,585.78 |
Blue Shield Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Professional | None | $537.03 | $758.58 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Professional | None | $691.83 | $851.14 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,511.89 Typical High $5,011.87 | Facility | None | $645.65 | $2,511.89 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,148.15 | Professional | None | $588.84 | $758.58 | $1,148.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,023.29 | Professional | None | $575.44 | $758.58 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,659.59 | Professional | None | $645.65 | $812.83 | $1,659.59 |
Lucent Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,623.41 | Professional | None | $5,370.32 | $5,370.32 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $707.95 Median $2,454.71 Typical High $5,128.61 | Facility | None | $707.95 | $2,454.71 | $5,128.61 |
Providence Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,148.15 | Professional | None | $588.84 | $758.58 | $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 $1,258.93 Median $3,090.30 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,090.30 | $10,964.78 |
United Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,202.26 | Professional | None | $549.54 | $707.95 | $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 $363.08 | Professional | 52 · Reduced service | $331.13 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $501.19 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $72.44 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $467.74 | $489.78 | $512.86 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $371.54 Median $478.63 Typical High $812.83 | Professional | 62 · Two surgeons | $371.54 | $478.63 | $812.83 |
Where California sits
The same service costs 6.6 times more in Alaska than in Utah. 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
$813
AK $2,951UT $447
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.