How much rates vary
Facilitymedian $5,623 · 10th to 90th $891 to $14,454Professionalmedian $537 · 10th to 90th $417 to $3,388
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 $2,238.72 Median $6,760.83 Typical High $16,218.10 | Facility | None | $2,238.72 | $6,760.83 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $1,000.00 | Professional | None | $436.52 | $457.09 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $8,511.38 Typical High $16,982.44 | Facility | None | $4,168.69 | $8,511.38 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,819.70 | Professional | None | $524.81 | $588.84 | $1,819.70 |
Blue Shield Setting Facility Modifier None Typical Low $95.50 Median $1,905.46 Typical High $12,302.69 | Facility | None | $95.50 | $1,905.46 | $12,302.69 |
Blue Shield Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $1,230.27 | Professional | None | $371.54 | $524.81 | $1,230.27 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $524.81 | Professional | None | $338.84 | $478.63 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $7,079.46 Typical High $12,589.25 | Facility | None | $758.58 | $7,079.46 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $1,318.26 | Professional | None | $457.09 | $524.81 | $1,318.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $562.34 | Professional | None | $269.15 | $467.74 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $1,096.48 | Professional | None | $416.87 | $537.03 | $1,096.48 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,890.45 | Professional | None | $3,388.44 | $3,388.44 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $6,606.93 Typical High $12,022.64 | Facility | None | $630.96 | $6,606.93 | $12,022.64 |
Providence Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $1,318.26 | Professional | None | $446.68 | $512.86 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $380.19 Median $512.86 Typical High $1,348.96 | Professional | None | $380.19 | $512.86 | $1,348.96 |
7 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 $218.78 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | 54 · Surgery only | $323.59 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $47.86 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $79.43 Typical High $181.97 | Professional | 80 · Assistant surgeon | $63.10 | $79.43 | $181.97 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $69.18 Typical High $158.49 | Professional | AS · PA/NP assist | $54.95 | $69.18 | $158.49 |
Where California sits
The same service costs 3.9 times more in Alaska than in New York. 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· 30th of 51
$724
AK $1,905NY $490
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.