How much rates vary
Facilitymedian $5,012 · 10th to 90th $603 to $151,356Professionalmedian $2,630 · 10th to 90th $1,778 to $23,988
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 $1,949.84 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,949.84 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,778.28 | $1,905.46 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $16,595.87 Typical High $29,512.09 | Facility | None | $7,762.47 | $16,595.87 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $3,019.95 Typical High $7,585.78 | Professional | None | $2,570.40 | $3,019.95 | $7,585.78 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $4,570.88 | Professional | None | $1,659.59 | $2,344.23 | $4,570.88 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,187.76 | $3,235.94 |
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 $1,905.46 Median $2,238.72 Typical High $5,495.41 | Professional | None | $1,905.46 | $2,238.72 | $5,495.41 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,698.24 | $2,137.96 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $5,248.07 | Professional | None | $1,737.80 | $2,238.72 | $5,248.07 |
Lucent Health Setting Professional Modifier None Typical Low $23,988.33 Median $25,703.96 Typical High $25,703.96 | Professional | None | $23,988.33 | $25,703.96 | $25,703.96 |
Molina Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $1,862.09 Median $2,187.76 Typical High $5,495.41 | Professional | None | $1,862.09 | $2,187.76 | $5,495.41 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
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 $1,659.59 Median $2,238.72 Typical High $6,025.60 | Professional | None | $1,659.59 | $2,238.72 | $6,025.60 |
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 $891.25 Median $954.99 Typical High $1,122.02 | Professional | 52 · Reduced service | $891.25 | $954.99 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $380.19 Typical High $446.68 | Professional | 53 · Discontinued | $354.81 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,412.54 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,348.96 | $1,412.54 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $281.84 Typical High $338.84 | Professional | 55 · Aftercare only | $269.15 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $190.55 Typical High $223.87 | Professional | 56 · Pre-op care only | $177.83 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,318.26 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,318.26 | $1,584.89 |
Where California sits
The same service costs 5.8 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· 28th of 51
$2,754
AK $7,943TX $1,380
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.