How much rates vary
Facilitymedian $2,239 · 10th to 90th $646 to $8,913Professionalmedian $447 · 10th to 90th $288 to $2,455
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 $562.34 Median $5,754.40 Typical High $15,848.93 | Facility | None | $562.34 | $5,754.40 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $562.34 | Professional | None | $295.12 | $436.52 | $562.34 |
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 $302.00 Median $309.03 Typical High $912.01 | Professional | None | $302.00 | $309.03 | $912.01 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,513.56 Typical High $6,606.93 | Facility | None | $100.00 | $1,513.56 | $6,606.93 |
Blue Shield Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $660.69 | Professional | None | $245.47 | $416.87 | $660.69 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $933.25 | Professional | None | $234.42 | $501.19 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,819.70 Typical High $3,630.78 | Facility | None | $575.44 | $1,819.70 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $912.01 | Professional | None | $316.23 | $467.74 | $912.01 |
Contra Costa Health Setting Professional Modifier None Typical Low $141.25 Median $489.78 Typical High $933.25 | Professional | None | $141.25 | $489.78 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,318.26 | Professional | None | $380.19 | $691.83 | $1,318.26 |
Lucent Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,495.41 | Professional | None | $4,168.69 | $4,168.69 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | None | $489.78 | $489.78 | $812.83 |
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 $478.63 Median $1,737.80 Typical High $4,466.84 | Facility | None | $478.63 | $1,737.80 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $812.83 | Professional | None | $316.23 | $446.68 | $812.83 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,122.02 | $1,949.84 |
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 $269.15 Median $467.74 Typical High $1,023.29 | Professional | None | $269.15 | $467.74 | $1,023.29 |
13 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 Facility Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $281.84 | Facility | 52 · Reduced service | $151.36 | $165.96 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $112.20 | Facility | 53 · Discontinued | $60.26 | $66.07 | $112.20 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $223.87 Median $245.47 Typical High $426.58 | Facility | 54 · Surgery only | $223.87 | $245.47 | $426.58 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $44.67 Median $48.98 Typical High $85.11 | Facility | 55 · Aftercare only | $44.67 | $48.98 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $56.23 | Facility | 56 · Pre-op care only | $30.20 | $33.11 | $56.23 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $229.09 Typical High $398.11 | Facility | 78 · Unplanned return to OR | $208.93 | $229.09 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $218.78 Typical High $281.84 | Professional | 52 · Reduced service | $141.25 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $87.10 Typical High $112.20 | Professional | 53 · Discontinued | $56.23 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $323.59 Typical High $426.58 | Professional | 54 · Surgery only | $208.93 | $323.59 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $64.57 Typical High $85.11 | Professional | 55 · Aftercare only | $41.69 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $43.65 Typical High $56.23 | Professional | 56 · Pre-op care only | $28.18 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $302.00 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $194.98 | $302.00 | $398.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $724.44 Typical High $933.25 | Professional | 50 · Both sides | $512.86 | $724.44 | $933.25 |
Where California sits
The same service costs 4.7 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· 41st of 51
$479
AK $1,660TX $355
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.