How much rates vary
Facilitymedian $4,677 · 10th to 90th $832 to $13,183Professionalmedian $631 · 10th to 90th $457 to $3,311
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 $676.08 Median $7,079.46 Typical High $17,782.79 | Facility | None | $676.08 | $7,079.46 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $645.65 | Professional | None | $457.09 | $588.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $10,232.93 Typical High $18,620.87 | Facility | None | $5,248.07 | $10,232.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $2,454.71 | Professional | None | $575.44 | $616.60 | $2,454.71 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,884.03 Typical High $10,232.93 | Facility | None | $100.00 | $2,884.03 | $10,232.93 |
Blue Shield Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $1,513.56 | Professional | None | $416.87 | $616.60 | $1,513.56 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $870.96 | Professional | None | $446.68 | $616.60 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,466.84 Typical High $8,912.51 | Facility | None | $758.58 | $4,466.84 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,202.26 | Professional | None | $478.63 | $645.65 | $1,202.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $870.96 | Professional | None | $371.54 | $537.03 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,380.38 | Professional | None | $446.68 | $691.83 | $1,380.38 |
Lucent Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,370.32 | Professional | None | $4,466.84 | $4,466.84 | $5,370.32 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $851.14 | Professional | None | $512.86 | $512.86 | $851.14 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $4,073.80 Typical High $9,120.11 | Facility | None | $676.08 | $4,073.80 | $9,120.11 |
Providence Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,230.27 | Professional | None | $478.63 | $630.96 | $1,230.27 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,584.89 | $2,089.30 |
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 $398.11 Median $602.56 Typical High $1,479.11 | Professional | None | $398.11 | $602.56 | $1,479.11 |
12 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 52 · Reduced service Typical Low $229.09 Median $245.47 Typical High $316.23 | Facility | 52 · Reduced service | $229.09 | $245.47 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $128.82 | Facility | 53 · Discontinued | $91.20 | $97.72 | $128.82 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | 54 · Surgery only | $338.84 | $363.08 | $478.63 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $95.50 | Facility | 55 · Aftercare only | $69.18 | $74.13 | $95.50 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $64.57 | Facility | 56 · Pre-op care only | $45.71 | $48.98 | $64.57 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $338.84 Typical High $446.68 | Facility | 78 · Unplanned return to OR | $316.23 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $257.04 Typical High $316.23 | Professional | 52 · Reduced service | $229.09 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $102.33 Typical High $128.82 | Professional | 53 · Discontinued | $91.20 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $338.84 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $77.62 Typical High $95.50 | Professional | 55 · Aftercare only | $69.18 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $51.29 Typical High $64.57 | Professional | 56 · Pre-op care only | $45.71 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $363.08 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $316.23 | $363.08 | $446.68 |
Where California sits
The same service costs 5.0 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· 35th of 51
$708
AK $2,344UT $468
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.