How much rates vary
Facilitymedian $4,074 · 10th to 90th $871 to $10,233Professionalmedian $355 · 10th to 90th $240 to $2,089
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 $933.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $933.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $416.87 | Professional | None | $234.42 | $251.19 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $6,606.93 Typical High $13,489.63 | Facility | None | $2,951.21 | $6,606.93 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $1,698.24 | Professional | None | $309.03 | $346.74 | $1,698.24 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $2,570.40 Typical High $9,549.93 | Facility | None | $100.00 | $2,570.40 | $9,549.93 |
Blue Shield Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $794.33 | Professional | None | $218.78 | $316.23 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,466.84 Typical High $7,413.10 | Facility | None | $758.58 | $4,466.84 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $1,000.00 | Professional | None | $251.19 | $302.00 | $1,000.00 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $501.19 | Professional | None | $223.87 | $416.87 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $1,122.02 | Professional | None | $371.54 | $467.74 | $1,122.02 |
Lucent Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Providence Setting Facility Modifier None Typical Low $524.81 Median $4,168.69 Typical High $7,079.46 | Facility | None | $524.81 | $4,168.69 | $7,079.46 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $1,096.48 | Professional | None | $251.19 | $295.12 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $11,220.18 | Facility | None | $1,258.93 | $3,090.30 | $11,220.18 |
United Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,288.25 | Professional | None | $234.42 | $446.68 | $1,288.25 |
8 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 $120.23 Median $120.23 Typical High $162.18 | Professional | 52 · Reduced service | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 54 · Surgery only | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $32.36 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $213.80 Median $269.15 Typical High $660.69 | Professional | 62 · Two surgeons | $213.80 | $269.15 | $660.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $69.18 Typical High $169.82 | Professional | 80 · Assistant surgeon | $54.95 | $69.18 | $169.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $60.26 Typical High $147.91 | Professional | AS · PA/NP assist | $47.86 | $60.26 | $147.91 |
Where California sits
The same service costs 5.2 times more in Alaska than in Kentucky. 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· 40th of 51
$501
AK $1,820KY $347
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.