How much rates vary
Facilitymedian $2,399 · 10th to 90th $257 to $12,303Professionalmedian $295 · 10th to 90th $204 to $1,413
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 $691.83 Median $7,244.36 Typical High $17,782.79 | Facility | None | $691.83 | $7,244.36 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $354.81 | Professional | None | $199.53 | $281.84 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $8,128.31 Typical High $16,982.44 | Facility | None | $3,890.45 | $8,128.31 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $794.33 | Professional | None | $229.09 | $229.09 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $5,248.07 | Facility | None | $57.54 | $89.13 | $5,248.07 |
Blue Shield Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $467.74 | Professional | None | $165.96 | $275.42 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $501.19 | Professional | None | $223.87 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $2,691.53 | Facility | None | $245.47 | $389.05 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $512.86 | Professional | None | $223.87 | $331.13 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $426.58 | Professional | None | $245.47 | $295.12 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $691.83 | Professional | None | $213.80 | $338.84 | $691.83 |
Lucent Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,238.72 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None | $263.03 | $263.03 | $436.52 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $2,398.83 | Facility | None | $245.47 | $380.19 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $501.19 | Professional | None | $213.80 | $331.13 | $501.19 |
Sutter Health Plus Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,071.52 | Professional | None | $741.31 | $741.31 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $4,168.69 Typical High $14,454.40 | Facility | None | $1,659.59 | $4,168.69 | $14,454.40 |
United Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $524.81 | Professional | None | $177.83 | $281.84 | $524.81 |
4 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 78 · Unplanned return to OR Typical Low $147.91 Median $158.49 Typical High $251.19 | Facility | 78 · Unplanned return to OR | $147.91 | $158.49 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $141.25 | $194.98 | $229.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $446.68 Typical High $602.56 | Professional | 50 · Both sides | $331.13 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $138.04 Median $186.21 Typical High $251.19 | Professional | 62 · Two surgeons | $138.04 | $186.21 | $251.19 |
Where California sits
The same service costs 5.0 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· 37th of 51
$309
AK $912TX $182
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.