How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,288 to $14,125Professionalmedian $1,514 · 10th to 90th $1,047 to $9,550
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 $2,570.40 Median $8,912.51 Typical High $19,054.61 | Facility | None | $2,570.40 | $8,912.51 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,230.27 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $11,481.54 Typical High $20,417.38 | Facility | None | $5,888.44 | $11,481.54 | $20,417.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $5,888.44 | Professional | None | $1,348.96 | $1,513.56 | $5,888.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,951.21 Typical High $10,964.78 | Facility | None | $100.00 | $2,951.21 | $10,964.78 |
Blue Shield Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $3,467.37 | Professional | None | $1,000.00 | $1,445.44 | $3,467.37 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,819.70 | Professional | None | $933.25 | $1,412.54 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $4,466.84 Typical High $8,912.51 | Facility | None | $851.14 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,380.38 Typical High $3,548.13 | Professional | None | $1,174.90 | $1,380.38 | $3,548.13 |
Contra Costa Health Setting Professional Modifier None Typical Low $741.31 Median $1,621.81 Typical High $1,949.84 | Professional | None | $741.31 | $1,621.81 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,348.96 | $1,698.24 | $3,311.31 |
Lucent Health Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $11,220.18 | Professional | None | $9,549.93 | $9,549.93 | $11,220.18 |
Molina Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $4,265.80 Typical High $10,000.00 | Facility | None | $912.01 | $4,265.80 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $3,548.13 | Professional | None | $1,174.90 | $1,348.96 | $3,548.13 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,754.40 Typical High $17,378.01 | Facility | None | $2,290.87 | $5,754.40 | $17,378.01 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $3,981.07 | Professional | None | $977.24 | $1,412.54 | $3,981.07 |
6 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 $562.34 Median $562.34 Typical High $660.69 | Professional | 52 · Reduced service | $562.34 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | 54 · Surgery only | $851.14 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $933.25 |
Where California sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 25th of 51
$1,905
AK $5,495UT $933
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.