How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,230 to $19,498Professionalmedian $1,202 · 10th to 90th $891 to $7,762
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 $2,398.83 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,398.83 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,023.29 | Professional | None | $912.01 | $954.99 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $16,595.87 Typical High $29,512.09 | Facility | None | $7,585.78 | $16,595.87 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,202.26 | $2,818.38 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,311.31 Typical High $19,054.61 | Facility | None | $100.00 | $3,311.31 | $19,054.61 |
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 $741.31 Median $1,047.13 Typical High $1,258.93 | Professional | None | $741.31 | $1,047.13 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,495.41 Typical High $11,220.18 | Facility | None | $758.58 | $5,495.41 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,096.48 | $1,698.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $489.78 Median $1,122.02 Typical High $1,412.54 | Professional | None | $489.78 | $1,122.02 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $2,951.21 | Professional | None | $933.25 | $1,202.26 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $8,511.38 | Professional | None | $7,762.47 | $7,762.47 | $8,511.38 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $5,248.07 Typical High $10,715.19 | Facility | None | $831.76 | $5,248.07 | $10,715.19 |
Providence Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,071.52 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $7,079.46 Typical High $19,054.61 | Facility | None | $2,884.03 | $7,079.46 | $19,054.61 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,737.80 | Professional | None | $812.83 | $1,023.29 | $1,737.80 |
5 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 $676.08 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $676.08 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $144.54 Typical High $154.88 | Professional | 55 · Aftercare only | $134.90 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $676.08 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $630.96 | $676.08 | $724.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,778.28 Typical High $2,691.53 | Professional | 50 · Both sides | $1,412.54 | $1,778.28 | $2,691.53 |
Where California sits
The same service costs 7.6 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· 35th of 51
$1,202
AK $4,266TX $562
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.