How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,230 to $14,125Professionalmedian $2,455 · 10th to 90th $1,288 to $10,715
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 $1,318.26 Median $1,318.26 Typical High $4,168.69 | Professional | None | $1,318.26 | $1,318.26 | $4,168.69 |
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 $1,905.46 Median $2,570.40 Typical High $6,165.95 | Professional | None | $1,905.46 | $2,570.40 | $6,165.95 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,187.76 Typical High $10,964.78 | Facility | None | $100.00 | $2,187.76 | $10,964.78 |
Blue Shield Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,981.07 | Professional | None | $1,122.02 | $1,584.89 | $3,981.07 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,737.80 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,466.84 Typical High $9,120.11 | Facility | None | $758.58 | $4,466.84 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $4,265.80 | Professional | None | $1,348.96 | $1,698.24 | $4,265.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,548.82 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,348.96 | $1,698.24 | $3,388.44 |
Lucent Health Setting Professional Modifier None Typical Low $10,715.19 Median $11,481.54 Typical High $11,481.54 | Professional | None | $10,715.19 | $11,481.54 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $4,265.80 Typical High $8,912.51 | Facility | None | $812.83 | $4,265.80 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $4,265.80 | Professional | None | $1,348.96 | $1,698.24 | $4,265.80 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
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 $1,148.15 Median $1,584.89 Typical High $4,365.16 | Professional | None | $1,148.15 | $1,584.89 | $4,365.16 |
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 $660.69 Median $660.69 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $660.69 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,047.13 |
Where California sits
The same service costs 7.1 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· 17th of 51
$2,455
AK $6,026TX $851
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.