How much rates vary
Facilitymedian $3,802 · 10th to 90th $832 to $11,749Professionalmedian $575 · 10th to 90th $447 to $3,981
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 $446.68 Median $478.63 Typical High $512.86 | Professional | None | $446.68 | $478.63 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,884.03 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $1,412.54 | Professional | None | $562.34 | $575.44 | $1,412.54 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $3,162.28 Typical High $8,709.64 | Facility | None | $100.00 | $3,162.28 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $776.25 | Professional | None | $380.19 | $562.34 | $776.25 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $707.95 | Professional | None | $524.81 | $707.95 | $707.95 |
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 $489.78 Median $537.03 Typical High $891.25 | Professional | None | $489.78 | $537.03 | $891.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $851.14 | Professional | None | $407.38 | $630.96 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $645.65 Typical High $1,288.25 | Professional | None | $537.03 | $645.65 | $1,288.25 |
Lucent Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,981.07 | $3,981.07 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $645.65 Median $2,511.89 Typical High $6,025.60 | Facility | None | $645.65 | $2,511.89 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $851.14 | Professional | None | $489.78 | $537.03 | $851.14 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $6,606.93 Typical High $18,620.87 | Facility | None | $2,884.03 | $6,606.93 | $18,620.87 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $891.25 | Professional | None | $416.87 | $524.81 | $891.25 |
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 $223.87 Median $239.88 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $354.81 Typical High $389.05 | Professional | 54 · Surgery only | $338.84 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $67.61 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $316.23 | $331.13 | $363.08 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $812.83 Typical High $1,348.96 | Professional | 50 · Both sides | $645.65 | $812.83 | $1,348.96 |
Where California sits
The same service costs 7.9 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· 39th of 51
$603
AK $2,239TX $282
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.