How much rates vary
Facilitymedian $5,370 · 10th to 90th $617 to $151,356Professionalmedian $5,248 · 10th to 90th $3,311 to $28,184
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 $3,890.45 Median $8,128.31 Typical High $19,054.61 | Facility | None | $3,890.45 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,570.88 | Professional | None | $3,467.37 | $3,890.45 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $13,489.63 Typical High $23,442.29 | Facility | None | $6,918.31 | $13,489.63 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $15,135.61 | Professional | None | $3,467.37 | $5,370.32 | $15,135.61 |
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 $2,570.40 Median $3,715.35 Typical High $7,244.36 | Professional | None | $2,570.40 | $3,715.35 | $7,244.36 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,630.27 Typical High $4,365.16 | Professional | None | $1,548.82 | $2,630.27 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,445.44 Typical High $10,000.00 | Facility | None | $660.69 | $1,445.44 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,265.80 Typical High $11,220.18 | Professional | None | $3,467.37 | $4,265.80 | $11,220.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,230.27 Median $3,890.45 Typical High $4,677.35 | Professional | None | $1,230.27 | $3,890.45 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $10,471.29 | Professional | None | $3,388.44 | $4,466.84 | $10,471.29 |
Lucent Health Setting Professional Modifier None Typical Low $28,183.83 Median $28,183.83 Typical High $33,113.11 | Professional | None | $28,183.83 | $28,183.83 | $33,113.11 |
Molina Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
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 $3,467.37 Median $4,265.80 Typical High $11,220.18 | Professional | None | $3,467.37 | $4,265.80 | $11,220.18 |
Sutter Health Plus Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None | $12,882.50 | $12,882.50 | $12,882.50 |
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 $3,235.94 Median $4,466.84 Typical High $12,302.69 | Professional | None | $3,235.94 | $4,466.84 | $12,302.69 |
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 $1,819.70 Median $1,949.84 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,819.70 | $1,949.84 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $776.25 Typical High $912.01 | Professional | 53 · Discontinued | $724.44 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,884.03 Typical High $3,467.37 | Professional | 54 · Surgery only | $2,691.53 | $2,884.03 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $575.44 Typical High $691.83 | Professional | 55 · Aftercare only | $549.54 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $389.05 Typical High $457.09 | Professional | 56 · Pre-op care only | $363.08 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,691.53 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,691.53 | $3,235.94 |
Where California sits
The same service costs 6.6 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $28,241WA $4,311
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.