How much rates vary
Facilitymedian $6,310 · 10th to 90th $631 to $56,234Professionalmedian $1,660 · 10th to 90th $1,175 to $9,772
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 $1,230.27 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,230.27 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,230.27 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $12,589.25 Typical High $26,302.68 | Facility | None | $7,244.36 | $12,589.25 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $5,495.41 | Professional | None | $1,621.81 | $1,819.70 | $5,495.41 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $4,168.69 Typical High $8,709.64 | Facility | None | $67.61 | $4,168.69 | $8,709.64 |
Blue Shield Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $3,715.35 | Professional | None | $1,122.02 | $1,621.81 | $3,715.35 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,584.89 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $3,630.78 | Professional | None | $1,230.27 | $1,479.11 | $3,630.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,412.54 | $1,548.82 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,258.93 | $1,621.81 | $3,162.28 |
Lucent Health Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $11,481.54 | Professional | None | $9,772.37 | $9,772.37 | $11,481.54 |
Molina Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,630.78 | Professional | None | $1,174.90 | $1,479.11 | $3,630.78 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $11,748.98 | Facility | None | $524.81 | $1,380.38 | $11,748.98 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $3,981.07 | Professional | None | $1,096.48 | $1,479.11 | $3,981.07 |
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 $602.56 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $602.56 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 53 · Discontinued | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $851.14 | $851.14 | $954.99 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $229.09 Typical High $537.03 | Professional | 80 · Assistant surgeon | $181.97 | $229.09 | $537.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $204.17 Typical High $467.74 | Professional | AS · PA/NP assist | $158.49 | $204.17 | $467.74 |
Where California sits
The same service costs 7.4 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· 29th of 51
$1,820
AK $5,623TX $759
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.