How much rates vary
Facilitymedian $5,129 · 10th to 90th $603 to $151,356Professionalmedian $2,951 · 10th to 90th $1,862 to $9,550
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 $1,737.80 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,737.80 | $1,819.70 | $2,754.23 |
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 $2,818.38 Median $3,235.94 Typical High $8,128.31 | Professional | None | $2,818.38 | $3,235.94 | $8,128.31 |
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 $1,584.89 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,584.89 | $2,290.87 | $4,466.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,388.44 | Professional | None | $1,862.09 | $2,290.87 | $3,388.44 |
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 $2,398.83 Typical High $6,165.95 | Professional | None | $1,949.84 | $2,398.83 | $6,165.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,691.53 | Professional | None | $1,995.26 | $2,238.72 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $5,495.41 | Professional | None | $1,778.28 | $2,344.23 | $5,495.41 |
Lucent Health Setting Professional Modifier None Typical Low $20,417.38 Median $20,417.38 Typical High $20,417.38 | Professional | None | $20,417.38 | $20,417.38 | $20,417.38 |
Molina Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $1,905.46 Median $2,398.83 Typical High $6,165.95 | Professional | None | $1,905.46 | $2,398.83 | $6,165.95 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
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 $1,778.28 Median $2,398.83 Typical High $6,309.57 | Professional | None | $1,778.28 | $2,398.83 | $6,309.57 |
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 $1,380.38 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,318.26 | $1,380.38 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,288.25 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,288.25 | $1,659.59 |
Where California sits
The same service costs 5.2 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· 22nd of 51
$2,951
AK $8,318TX $1,585
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.