How much rates vary
Facilitymedian $5,129 · 10th to 90th $603 to $151,356Professionalmedian $2,570 · 10th to 90th $1,778 to $9,333
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 $1,995.26 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,995.26 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,778.28 | $1,862.09 | $2,691.53 |
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 $3,090.30 Typical High $7,762.47 | Professional | None | $2,570.40 | $3,090.30 | $7,762.47 |
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 $1,621.81 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,621.81 | $2,290.87 | $4,466.84 |
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 $1,949.84 Median $2,344.23 Typical High $5,888.44 | Professional | None | $1,949.84 | $2,344.23 | $5,888.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,187.76 | $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 $19,498.45 Median $19,498.45 Typical High $19,498.45 | Professional | None | $19,498.45 | $19,498.45 | $19,498.45 |
Molina Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $2,290.87 Typical High $5,888.44 | Professional | None | $1,862.09 | $2,290.87 | $5,888.44 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
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 $1,698.24 Median $2,290.87 Typical High $6,025.60 | Professional | None | $1,698.24 | $2,290.87 | $6,025.60 |
2 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 54 · Surgery only Typical Low $1,318.26 Median $1,412.54 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,318.26 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,318.26 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,318.26 | $1,584.89 |
Where California sits
The same service costs 5.5 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
$2,692
AK $8,128TX $1,479
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.