How much rates vary
Facilitymedian $8,710 · 10th to 90th $1,380 to $21,878Professionalmedian $1,445 · 10th to 90th $1,072 to $9,333
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 $1,071.52 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,174.90 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $16,595.87 Typical High $29,512.09 | Facility | None | $7,762.47 | $16,595.87 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $3,388.44 | Professional | None | $1,380.38 | $1,445.44 | $3,388.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,311.31 Typical High $19,498.45 | Facility | None | $100.00 | $3,311.31 | $19,498.45 |
Blue Shield Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,905.46 | Professional | None | $933.25 | $1,348.96 | $1,905.46 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $891.25 | $1,288.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $12,589.25 Typical High $21,379.62 | Facility | None | $758.58 | $12,589.25 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $2,041.74 | Professional | None | $1,202.26 | $1,318.26 | $2,041.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $602.56 Median $1,348.96 Typical High $1,698.24 | Professional | None | $602.56 | $1,348.96 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $3,630.78 | Professional | None | $1,122.02 | $1,445.44 | $3,630.78 |
Lucent Health Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $10,232.93 | Professional | None | $9,332.54 | $9,332.54 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $12,302.69 Typical High $19,952.62 | Facility | None | $831.76 | $12,302.69 | $19,952.62 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,995.26 | Professional | None | $1,202.26 | $1,318.26 | $1,995.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $7,244.36 Typical High $20,417.38 | Facility | None | $2,884.03 | $7,244.36 | $20,417.38 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,258.93 | $2,089.30 |
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 $831.76 Median $870.96 Typical High $933.25 | Professional | 54 · Surgery only | $831.76 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $186.21 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $117.49 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $812.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $776.25 | $812.83 | $870.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,905.46 Typical High $3,311.31 | Professional | 50 · Both sides | $1,513.56 | $1,905.46 | $3,311.31 |
Where California sits
The same service costs 8.1 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· 36th of 51
$1,445
AK $5,248TX $646
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.